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CITY OF <br />LITTLE CANADA, MINNESOTA <br />APPLICATION FORM <br />Comprehensive Pion Amendment <br />Zoning District Amendment <br />Text Amendment <br />A-Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Develop ent'7 <br />5189 <br />Owner <br />4e ac 0 �e t`-'1A1 (tame) <br />c774/q -04 cade si_ <br />(Address) <br />Property Location (Street Address and Legal Description): <br />47," A 57" <br />X4e r A A CeirThi 4 <br />Co," N. vf' Sit,x, vc cl giThcAAA <br />-&-S-0 -7 <br />(Phone) <br />SuZvi'y aV21 lien Jaared <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Sae orJ <br />ZIP-I, *yen `['V <br />4 cob,' •J r C' c t! Jai 'E" <i. ��O �..1. �D � f' 617,km.cdAnkii- <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. 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. /l <br />(signature/of/Applicant) <br />Clerk's exhibi <br />In II <br />