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Applicant <br />N9 7 <br />Little Canada, Minnesota PAID 3S .6O <br />APPLICATION FORM Rec. No <br />Comprehensive Plan Amendment / Conditional Use Permit Nta5O • <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />c. t / � u . . . r a 1&< So tL /S<-4. V2767 <br />(Name) (Address) Lace vw %�` (Phone) <br />Owner <br />(Name) <br />Property Location (Street Address and Legal Description): <br />459/4 <br />(Address) (Phone) <br />Not74. /iaibGAS <br />tip 745 `33; 36, 37 <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Move a house into an existing single - family neighborhood. <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 />WHITE —Office CANARY— Curtomer PINK —File GOt.D- <br />i 9- ? <br />Page 13 <br />(Date) <br />