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Little Canada, Minnesota <br />APPLICATION FORM <br />PAID <br />N9 766 <br />1�-_n <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 />Plan Review <br />(o(2 4(12._ 60.66 <br />vl 412-6 V Fa ✓ eL) a+* cnct9 <br />(Name) (Address) (Phone) <br />Applicant <br />Owner <br />(L/L 60 el+ eft. im.tt n(raif 'i ;C) ,Ur) Pa cv r(eu` t (ate ),A4, cu P, E/Z.E iZk4 <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />ANL- PAID <br />D CT 8 1997 <br />CITY OF LITTLE CANADA <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />p (1 <br />h'CLQ�t. GL4. cat~µ 2.cv <br />O rd kin ((MCC ith 4571 <br />at-aft/I/ 90 2 .C;10 l it <c 9Cia.140 <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 rocedures. I further acknowledge the fee explanation as outlined <br />in the application procedures and hereby agree to pay state s received fro the City pertaining to additional applica- <br />tion expense. <br />Page 29 <br />(Si of A4pWicant) <br />N HITE— Office CANARY— Customer PINK —File GO LO— Planner <br />6-11A 7 <br />(Date) <br />atiel <br />