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N9 728 <br />Little Canada, Minnesota PAID #7-S e., <br />APPLICATION FORM <br />Comprehensive Plan Amendment Conditional Use Permit <br />Rec. No <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant to / Ell oDi S (/ /�f //v5 A� cAJ <br />(Name) (Address) (Phone) <br />Owner <br />(Name) <br />Property Location (Street Address and Legal Description): <br />S S L' ViA/i✓G; r <br />/ <br />(Address) (Phone) <br />6/),,a C /h /v A c/c7 772 /7i • .� J / <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />S -t° T`li C cG <br />PAID <br />JUL 2 6 1996 <br />CITY ©F Una CANADA <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 />-1 / <br />(Date) <br />WHITE — Office CANARY— Customer PINK —File GOLD —Pla <br />Page 48 <br />