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D <br />Little Canada, Minnesota <br />APPLICATION FORM <br />No 7/ <br />PAID5-OC% <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 />Applicant /1:0(? -71C4 <br />(Name) <br />Owner <br />/4_S 7;5- tGLr/` Thy ( f -(i yc> <br />(Address) / (Phone) <br />FU 6-P / S Gl 1-1-x-/z 73 c /yZ crp P/cP Y - f 67 - 6 /)-C <br />(Name) (Address) <br />Property Location (Street Address and Legal Description): <br />(Phone) <br />L/ti%/ Sci r�cJ <br />/ J Lu7L / <br />r/ Y i c r z- V T J1 -7--`D /?- G L C G'-• G T �j )3 V <br />0 - 22 - Z' ` ^ ({ (49 10 W. COUNTY ROAD C <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />lit/ 04D R u /c_� : y A-7 No Arm c A ,_/}, L- <br />%or v /7/1 <br />Cn i c ..0 a 17,-=- r: <br />. - --sSii2- er-V -2- 6{-3-1 9 <br />REZONE FROM R -1 TO R -2 <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 />(Signature of Applicant) Page 14 (Date) <br />WHITE —Office CANARY— Customer PINK —File GOLD— Planner .:k'°tsom <br />