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Applicant <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />( <br />1 <br />(Name) <br />lilt/ �i ir/ <br />( (me) <br />No 1267 <br />PAID **-&) <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />..t1 . L/�1�11 / / it /rJ/ i •. i ,/i <br />(Address) (Phone) <br />i <br />G <br />/'r. .4 <br />Property Location (Street Address and Legal Description): <br />Address) (Phone) <br />5oioCr t, &- otilk QtAioda,54tit r 551(7 <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />,,/nonJ d .et)/ <br />pi enntLiti gs4PL./r. At eastern e fire <br />a dic J (l p. .e OatWm ttH <br />In signing this applicatio I hereby a nowledge that 1 have read and fully understand he 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 />gnature of Appli <br />WHITE — Office CANARY — Customer PINK —File GOLD — Planner <br />nt) <br />Ley 7 d» /�- <br />(Date) <br />