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Little Canada, Minnesota <br />APPLICATION FORM <br />N9 730 <br />PAID A3,7 CC) <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />?( <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant <br />Owner <br />Cu /% A/2; �1 r %M, kid le& S[3(10 <br />(Name) (Address) (Phone) <br />/ £€€O. <br />(Name) <br />9jr, /14 4 ✓ 4 (Phone) ! (oirg -^'� <br />Property Location (Street Address and Legal Description): <br />?9s6 ya A4,0 £(JcJ SEthb,0 6 /ow,» 4=219 /2 le 2cR <br />be 3,o.67 ,-r 074 ,O aa. <br />f /frt)- - (R9- Oaa9 -� <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Re- tied A P41214& tads 9/3 c o /1-1-12.9 A me tie( <br />WPM 1 ✓rZI /ISF� /p A //ihcl 4i f-i.,, C? *Je=w, 4/z-- <br />in %E'ir &/V4// ,97-vfr ,d 444// 7ZI ,64 /)JS4 /%Ui <br />,¢s rel /- s>< ,zCK d` 41 26 -x« ,4 (i;d�= <br />A ,� & /X,� // e�a/C , a,cJ 3 ,. �% <br />In signing this application, I hereby acknowled that I had read and fu ly uncle stand the applicable provisions of the Zon- <br />ing and Subdivision Ordinances and current administrati .rocedures. urther acknowledge the fee explanation as outlined <br />in the application procedures and hereby agree to pay a atements r•.eived from the City pertaining to additional applica- <br />tion expense. <br />Page 1 <br />4441; <br />(.ignature of Applicant) <br />WHITE — Office CANARY— Customer PINK —File GOLD — Planner <br />