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Applicant <br />Little Canada, Minnesota <br />APPLICATION FORM <br />N? -- 822 <br />PAID -6-61 Ov <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Variance <br />Text Amendment ^ <br />Subdivision <br />Other Z%G'u''<>cL<t' / �2.4.(7- Planned Unit Development <br />Plan Review <br />Zoning District Amendment <br />(Name) <br />Owner r 1 d <br />(Name) <br />L9 <br />'vc Li <br />(Address) <br />(Phone) <br />(a,/, 53S 5037 <br />Property Location (Street Address and Legal Description): <br />1/43.=),s-c/ <br />(Address) <br />(Phone) <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ir end Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />ii. ,e application procedures and hereby agree to pay all statements received frpm the City pertaining to additional applica- <br />tion expense. 9 . <br />X 6 2— P7 <br />PAGE 169 (Date) <br />WHITE — Office CANARY— Customer PINK —File GOL..— rimaret <br />�„o <br />