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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 />(Name) (Address) <br />Owner <br />(Name) <br />Property Location (Street Address and Legal <br />Jackson Street (see attarhea sheer) <br />Q <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />(Address) <br />Description): <br />(Phone) <br />/r <br />(Phone) <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Rezoning property from R -1 to R -R to allow develo <br />IOU 'S <br />Living Facility for 48 Developmentally Disabled People. <br />of Su <br />e v <br />In signing this application, 1 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 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 />(Signature of Applicant) <br />(Please attach supportive documentation and plans) <br />e. ec. P <br />,in <br />ooze <br />Clerk's exhibit no. <br />Meeting- 2 -B -78 <br />