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Little Canada, Minnesota <br />APPLICATION FORM <br />N9 794 <br />PAID C7b 9vo <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Applicant NTT- Try kit Q41 ^J�-1'L� <br />(Name) <br />Owner SQ h'' e- <br />(Name) <br />Plan Review <br />122.5- Vii.6.4e. gear /; Kury <br />(LEA' j Sv.;f1 JOU,. I l�llm �Ji Nr)y3 f4� r%%S /RN..ss /10 <br />(A ress) (Phone) <br />(Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />\C-4' 101 o t,tt v !, 2'-- fr,,F, \sv Lei kLf a1,,,7i <br />Ley/ L aesc-ft,p Ettin t*Act,ed <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />41 Lie S-1.rN6- Apr r'ov -z,L cA pv-0 pope <br />'tiv ; iv L-a k.e nle5 <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ing and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />in the application procedures and hereby agree to pay all s tements received from the City pertaining to additional applica- <br />tion expense. <br />_ - 1 I /i7A <br />Page 77 <br />10 <br />WHITE— Office CANARY — Customer PINK —File GOLD — Planner <br />/S3 <br />(D. e) <br />