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Little Canada, Minnesota PAID <br />APPLICATION FORM <br />N9 708 <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 />,/' <br />Applicant J ��^i�i`U L L �V �f21 f f U 114111 p lZ'41A "432 <br />(Name) (Address)Li meCiatuA etYAr (Phone) <br />5S61-1 <br />Owner <br />m A anti 6 <br />(Name) (Address) <br />Property Location (Street Address and Legal Description): <br />.f -1 a V��I►\ tsR-. <br />Lttfi E .. iAN (app m ti. <br />(Phone) <br />D, dg —a9 �a�32- ocrov- In <br />seatt 8 Tun N P'rkqC fl <br />Svk,T Tor H 3b 114e Sty 190 <br />.D°1 'Pm <br />Description and /or Reason for Request (Cite Ordinance Sections): <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 • • ents received from the City pertaining to additional applica- <br />tion expense. � r <br />i - in ,A <br />gnature of App i/ <br />WHITE — Office CANARY— Customer PINK —File GOLD — Planner Page Y <br />aG Jram 9b <br />(Date) <br />