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SEP -25 -97 THU 10 11 CITY OF LITTLE CANADA FAX NO 484 4538 <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />Applicant <br />(Name) <br />P,02 <br />N9 9 766 <br />PAID (_G 77 1-7 <br />No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />04.:L\ \-7 8 G 4 5-R. SSvo t eloc,- l'2Z7110 <br />(Address) (Phone) <br />Owner �oa-G�. a-\ LLS ate^-e e Cm,n.wtin..iSS, ofeTf o4 * C —, (5-, .% <br />(Name) (Address) <br />(Phone) <br />Property Location (Street Address and Legal Description): <br />prN 3(- 0 -at -33 -no /°I = -3laks 7 <br />�c r to a � s Z•- kr�..(4 <br />,AA. em Me- L\v —e 7--ckd <br />\A-< <br />fP_1 3I- 3o- z2 -3'S -0008 4 cactecp a �J <br />alleys acct/ a - r&ese_.,Xc <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />s <br />q NJ <br />SeW P0 - c-Tl©0 -s e5C -k€ r Coe€ -Q-y a-v4 <br />1 co J^ -�.SeX CirD"y s cam, l <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— Customer PINK —File GO LC <br />Page 11 ) <br />(Date) <br />