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L'- I vJ. <br />CITY OF <br />LITTLE CANADA, MINNESOTA <br />APPLICATION FORM <br />Comprehensive Plan Amendment SC -Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />` �y Planned Unit Development <br />v <br />Applicant .2 kr-1 O. si�dc-��Se(� 3 /rd <br />0o <br />0, �. c%-,re <br />(Jane) (Phone) <br />(Phone) Owner Cc c,� C - S -OS S %/ «a'4 4%ti . <br />OM)) <br />(Name) (Address) / <br />Property Location (Street Address and Legal Description): <br />3ffro (2,600,o4-7 <br />Description and /or Reason for Request (Cite Ordinance Sections): <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. 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 />ure of Applicant) 0pec <br />Clerk's exhibit no. <br />(Please attach supportive documentation and plans) Meeting- 2 -B -78 <br />