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CITY OF LITTLE CANADA <br />515 Little C.nn,t Road, Little <br />Received From <br />Add -ss <br />Canada, Minn. 55117 <br />RECEIPT <br />N2 1110573 <br />Applicant <br />Owner <br />(Name) <br />:se Permit <br />Planned Unit Development <br />S t � //?/ (L • Le r l -t 'eAer.L 4-- <br />(Address) / St (f a r (Phone) czjl' <br />LL j- <br />(Nacre) <br />(Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />!G� <br />v <br />/ gipck- / <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />(. /67 itCC <br />r A-'CC- Vii /4'0ftcT7 <br />C is• 7-7A, G_ /I- i <br />c 119 - <br />0i2 Cw 7 /CLVV _—+,b w PC y fib ( j il" <br />. U ' f ' 6--A) ( /Z 7772--,2_//1- /z- 7-7-751C/-7-'-------7S • <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 ogree to pay all statements received from the City pertaining to <br />additional application expense. <br />ki/ <br />rt T-tr'v exhibit no. <br />OOZG <br />