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CITY OF <br />LITTLE CANADA, MINNESOTA <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Applicant <br />came) <br />4.egr 0 Le NIPS <br />(tame) <br />A-Conditional Use Permit <br />Variance <br />Subdivision <br />Owner <br />ddress) <br />Planned Unit Develop ent/`-77 <br />` / ` J ✓ //? <br />177/' 7)(, <br />? yg s/.?c41e Si <br />(Address) <br />Property Location (Street Address and Legal Description): <br />9f9 -c -Sr7'7 <br />(Phone) <br />vc <br />G <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />c, <br />c <br />6 hat AL 4 '9 <br />2)' <br />I <br />by 5��•Tiof) <br />'E' "Vou f, 7,.1M. ANC,— 1)A., A by ut <br />.VL•� L7 C'c tt� /� <br />In signing this application, 1 hereby acknowledge that 1 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 />e ' �T <br />(Signature/of/Applicant) / •� .00ZG <br />Clerk's exhibit no. <br />Int <br />