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Case No. <br />CITY OF <br />LITTLE CANADA, ViI NNESOTiA <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />•Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Applicant C'/i FL fa /3, 14/025E /%�.. - 5R%LGfyS2 i/< 0cgi L` /Y-35 S:k <br />(Name) (Address) (Phone) <br />Owner ( ///2/2/- / 1�f fr 5e- A./ <br />(Name <br />I k' 7 j I rtu c <br />( <br />Address)) 5 r, /�/�U/ <br />Property Location (Street Address and Legal Description): <br />(Phone) <br />(),r s F ? c ti l- T -1 i ? J) "D , . J 174 it// Fi r/ G- <br />i-'GRA /13t i GU He 7 (W?R6[ TI) <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />ro 54i/ rs <br />In signing this application, 1 hereby acknowledge that I have read and fully understand the <br />applicable provisions of the Zoning and Subdivision Ordinances and current administrative: <br />procedures. I further acknowledge the fee explanation as outlined in the application <br />procedures and hereby agree to pay all statements received from the City pertaining to <br />additional application expense. <br />-b <br />(Signature of ° ••!loan <br />(Please attach supportive documentation a- <br />24 <br />nn ?r <br />