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f <br />Little Canada, Minnesota <br />APPLICATION FORM <br />PAID <br />N9 78 <br />Rec. No <br />Comprehensive Plan Amendment X Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant <br />Gordie's Bar 210 E. Little Canada Road 484 -4692 <br />(Name) (Address) (Phone) <br />Dick Cossack 108 Bluwood Avenue, Little Canada, MN 55117 484 -7126 <br />Owner <br />(Name) <br />Property Location (Street Address and Legal Description): <br />(Address) (Phone) <br />201 East Little Canada Road, Little Canada, MN 555117 <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Would like to have a boot hockey league. Requesting the league to <br />allowed to operate six nights per week from 6 P.M. through 10 P.M. <br />Would like to hold three tournaments per year. <br />In signing this application, I hereby acknowledge that 1 have read and fully understand the applidable 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 statements received from the City pertaining to additional applica- <br />tion expense. <br />Page 22 <br />WHITE — Office CANARY — Customer PINK —F'ue ou Lu— canner <br />.9-2 7- `ri <br />pplicant) (Date) <br />