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n <br />N9 783 <br />Little Canada, Minnesota PAID <br />APPLICATION FORM Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />/.70m org-SC <br />Appiicant�oL.L&-O 9 S ia-tbosx, X587 /�he2fS. v:- tail A.i,ua A Es Nu G /2- ' 9 -S.zcic <br />(Name) (Address) (Phone) <br />Owner <br />4n R£SCo 4amn,Exo»L C�ciA, <br />(Name) <br />de/0 S &sw.1 e#eSu.;teyio ad /SE- zd. aos -3333 -- <br />(Address' 6,3 "o a.__ (Phone) a7o <br />Property Location (Street Address and Legal Description): <br />235-54 R fc e S&esar 2 etilZ eitimebt SCJ ZQ <br />Al ciA& r erF i ,,tt8,e5ec74tali £ce.- j-e rcr *de/ Ncc,Q <br />v w 4-S'So <br />Bo al con-R4 <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Amend existing CUP to allow storage shed. <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 statements received from the City pertaining to additional applica- <br />tion expense. <br />Page 6 n <br />WHITE— Office CANARY— Customer PINK —File GOLD — Planner <br />(Date) <br />ego <br />