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CITY OF <br />LITTLE CANADA, MINNESOTA <br />APPLICATION FORM <br />Comprehensive Plan Amendment -Conditional Use Permit <br />Zoning District Amendment <br />Text Amendment <br />Variance <br />Subdivision <br />Planned Unit Development <br />Applicant4(c q� L -� �Q 77P 3 to e . VP7 3�� <br />(Name) (• :dress) L, ' e Ca4a q'(Phone) <br />Owner ✓e e 2 - ZI ✓\ �°6 l evle60 / 6I °270 <br />(Name) (Address) 2_, t 1/Lc Cunt c? (Phone) <br />Property Location (Street Address and Legal Description): <br />3 e 4t-71-4c hert ' -c-q ct <br />0 <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />teaks ;(e, J^ qL.L <br />s s e s s vvr e vit ±0 f ' c( j� C c� 55-C s s P� <br />In signing this application, I 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 ockncwledge 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 />91/07 <br />(Please attach supportive doc <br />Clerk's exhibit no. <br />ans) :Meeting- 2 -8 -78 <br />i <br />1 <br />0026 <br />