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Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />N9 7Cl <br />PAID Sbv <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision 4SCO <br />Planned Unit Development ° <br />Plan Review <br />Applicant P4111191/2 095/41fJ/1 / /NO . -2300 MAN ST K.c.MO t4-(08 (8/0234 -64S4 <br />(Name) (Address) / (Phone) <br />Owner St-MS /tYS APR/SCA-M- <br />(Name) <br />Property Location (Street Address and Legal Description): <br />(Address) (Phone) <br />3 2-o 2, COc/MTiZt 04-1 v6 , W7-77.6 CA-M1-724-, ELI /V 5r / 7 <br />566- A- rrAcm,o Fort f-eaA -L, £ScrziPrzoJ (ex/troll-AO <br />Description and /or Reason for Request (Cite Ordinance Sections): (SSC Pealtc9 S'( -Prr6N1%N?") <br />6i)0s?1 AJPr MA- J P✓UIfr ING' IS ?D G' coNfveparso 7D -A-i c 5"14,S. <br />Lti N &W WH-(ett}ous& STO( t-ee FPrC.(VLT -y AND A W IN Dpw <br />6rN O z1t. <br />6Uwyot NM- /DWG •)-90 `Acf or —l�f✓r <br />.ievv P6brcuJ& wow f12-ovip6©, -7-14-6-(Re ■(w f3e BoN-t <br />Moo(f -t c-nn a 13 It e?c r (4 (\16 tte p Cbp/tMOOITL( <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 administ ative procedures. I further acknowledge the fee explanation as outlined <br />in the application procedures and hereby agree to pa . it statem-nts received from the City pertaining to additional applica- <br />tion expense. <br />Page 100 <br />• `ature o App <br />WHITE — Office CANARY — Customer PINK —File GOLD — Planner <br />e7(Date) <br />e, <br />