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Applicant <br />Owner <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />C <br />n sit <br />PAID 4)/ 3D0 <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision /,," <br />XPlanned Unit Development ':2 : <br />Plan Review <br />(Namq� <br />(Name) / <br />(Address) <br />L=1441 A <br />(Address) <br />‘/:- 707.0-- jam° 9 / <br />(Phone) <br />Property Location (Street Address and Legal Description): <br />X X X 0 u 4 j � . ( % e p / 7 4 A , C / 2 61/A ray/4 <br />6,f7- 7X-I4 ' 2 <br />(Phone) <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />4' ` /VL2 -L /ve,i✓ <br />14: d 1 c 6,-/tp.AL1uf� <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />inn and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />it ; application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. <br />PAGE 129 <br />WHITE — Office CANARY— Customer PINK —File GO 1.1 <br />