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Case No. <br />CITY OF <br />LITTLE CANADA, MINNESOTA <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Applicant. )/t <br />(Name) <br />Owner w1 ,A- i (:" <br />(Name) <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />c�C6`j 41/41 7yf->, e .'- 7)I'c�3/ <br />(Address (Phone) <br />(Address) <br />Property Location (Street Address and Legal Description): <br />'off <br />(Phone) <br />Arte t 1 -I 1 C) <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />rcik! >1_1_icp.kL- /k i _-P /lir y_- <br />�o) « 2 i cc r m i k o ( A (_4 tf) / 4) 1 / l l ( <br />\I----:_k -> c)( x-1\ j\ 1_ \P; (5 lc) A/ ()R V >(4-1Auk. f= <br />�'._t _ C ._ I (o NI Cr y C (2 (.f o <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. 1 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. r-) <br />(Signatu <br />(Please attach supportive documenta '. <br />29 <br />zG <br />