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CITY OF <br />LITTLE CANADA, kriINNESO TA <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Applicant /3 dLE/ //'!C. <br />(Name) <br />Owner AT6243 a /L.i <br />(Name) <br />4-3/20/Z <br />• <br />•Conditional Use Permit <br />VVariance <br />Subdivision <br />Planned Unit Development <br />c'/ r r ' /V. /2/d <br />(Address) <br />/6, 7c ✓iii7 -7 72.s c/u/ <br />(Address) <br />Property Location (Street Address and Legal Description): <br />S ici? /5r °' G-•c' <br />J <br />._ifYc//7 r/ /2 /C /T- <br />s/ <br />S/d 3 <br />(Phone) <br />j'ydj <br />(Phone) <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />A1J /7T /rvu/ <br />%O P /2. /Y,1 A67 / r/ /G.6 /iv ( <br />re-/ ?%zet/i.D/{ <br />b/a /7-/ o /AL, 7P9/2Ar / IV' L ! /✓t-I/ /7T (G /1410. /d (1-r6> <br />4 N/) /"?/20V(1)7L• l /Ze /Qf / L (70/' V / /7ciV <br />Arc/2 0/s r n /v//Tr7s <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. <br />-61.1 /°///7e/ <br />(Signature of Applicant) <br />(Please attach supportive docume <br />2J <br />,...00ec <br />Clerk's exhibit no. <br />;Meeting- 2 -8 -78 <br />