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Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />Applicant I\ 1-1-\ Apc.C., C t Ea, <br />(Name) <br />Owner � . e-- • C - — <br />(Name) <br />PAID <br />1\ • • 4.••• <br />7/� <br />Rec. No 4�'�.0t <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />00 F( ricC N So <br />) N1� M� Cs—cit <br />(Address) <br />IsH/ LINNa. Rocs <br />'1 � M(i3t Ct) P A , r3 sTh <br />(Address) <br />Property Location (Street Address and Legal Description): <br />TILE- CP\(JPsQA- ' "`A -LL <br />tCL� cis P L M rs i t <br />C.1 -0010 <br />(Phone) <br />X7 s'-3) y6 <br />(Phone) <br />P € S O Ce- <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />ti C�oSc� <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 />� <br />3)Zc /c <br />(Signature re of Applicant) ate <br />WHIT—Office CANAPY—Custorner PINK —File GOLD — Pinner no <br />z0 'd 8E9b b8b ON Xdd <br />VOVIO 3111I11 dO A1IO EE:OI CD 96- Et -NWW <br />Page 44 <br />