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CITY OF <br />LITTLE CANADA, MINNESOTA <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />-Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Applicant <br />VA,/ <br />(Nome) <br />Vic -, <br />Owner S E\ V \ <br />Planned Unit Development <br />(06.5 I .<i55._g9C <br />(Address) (Phone) <br />(Name) <br />(Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />iF IC, 5 I �;�� /ivy r' <br />(Ty iv U /11- <br />I <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />(; r <br />(1k !\ l' <br />l <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. <br />cC <br />(Please at <br />9 -3c t <br />(Signature of Applicant) . • <br />Clerk's exhibit no. <br />cumentation and plans) Meeting- 2 -8 -78 <br />