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Little Canada, Minnesota <br />APPLICATION FORM <br />N9 730 <br />PAID 4330, CC) <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />XText Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant <br />Owner <br />'CrEVe /x'42 /A) 6. a�SG 0,eah J H <br />(Name) {Address) <br />://led ;?1:4" 044 <br />(Name) (A dress) <br />•—S, jl) <br />(Phone) <br />Z/ r jv <br />(Phone) <br />Property Location (Street Address and Legal Description): <br />956 qo aki4 .f 4ieJ ; EG7‘i,c.1 i' %x) aq /14-n9e .Q <br />77Pc 366. 67 Fro ,t c2a , <br />/ 6G, -- /29-- <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Z L gGIe.cf A 24-- /FCt) <br />clods 9/3: °o Mtek Amed/ <br />% .x/ /44// MAP_ /tee =,4q// 7,2 dee /ele_s // <br />4- � e /,,21/ ,i/�e, <br />In signing this application, I hereby acknowledge that I <br />ing and Subdivision Ordinances and current administrat <br />in the application procedures and hereby agree to pay a <br />tion expense. <br />fo»S a ad and fully undefstand the applicable provisions of the Zon- <br />orocedures. further acknowledge the fee explanation as outlined <br />atements j ¢eived from the City pertaining to additional applica- <br />(Signature of Applicant) Page 27 <br />WHITE— Office CANARY — Customer PINK —File GOLD — Planner <br />