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Little Canada, Minnesota <br />APPLICATION FORM <br />N9 7(470 <br />PAID <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />SpoUAL Honl6 OCCc1PAT 10N P6g114 T Plan Review <br />Applicant WILLIAM 0- /SANWA At WA1-14-8E1 &"(570 TACICON ST, 5L8/ -04Lag <br />(Name) (Address) (Phone) <br />OwnerbOILLiA01 D. /SANDRA m. WHNc..agatj 2570 CACKCON S T ., 9f$1 -05`g S7 <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />1S�o TAcv-som► CANADA <br />,AnPJ.s fl7 <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />�PPLICA!JT oPeitATrs A MoB,Li; TOOL fl1ANCNISee QF MATCO TOOLS. WE AcrwA-L`I <br />OWA) (3) 4RANCH SES, We o9e'4 &Alts' /WO U V TWO SiPLOVEES (O S ;TE.) -0ft TNE' <br />.ANA ,NL/ R-Y <br />0hsn.S, /N Out C.iSiNESS T P - u c rIS h v r ' E ' o /N UNA rAC4 D 4AaAyE oO-CACIarVAU.y <br />OUR.. ,.vbiPLoyaes ANA oTn-j mgico F(Z4t3CHJSE 2 STOP Qy +:02 PICC T i AND <br />)NUeuTotzy EXc..I IAN(765. (AIIACHLSI) AiUO Sre PcAN TD (-Di-Lc (-)) <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. 1 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 CAP <br />Page 11 <br />Riddiet g-s 9 7 <br />(Signature of Applicant) (Date) <br />GO LD— Planner <br />