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LITTLE- CANADA, E HINNL 5U 1Pk <br />APPLICATIONI E=ORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />tp1 cant <br />- •� <br />(Nave) <br />PAID <br />REC.NO. /0 7 Cr <br />- Conditional Use Permit <br />Variance <br />Subdivision <br />(, ),:; <br />(Address) <br />.,,...,F <br />(Nome) -- • (Address) <br />)perty location (Street Address and legal Description): <br />Planned Unit Development <br />Plan Review <br />H *_ <br />(Phone) <br />(F <br />hone) <br />!scription and /or Reason for Request (Cite Ordinance Sections): <br />, <br />J <br />r1 <br />signing this application, I hereby acknowledge that I hove rend and fully understand the <br />,plicable provisions of the Zoning and Subdivision Ordinances and current administrative_ <br />ocedures. 1 further ocicncewledge the fee explanation as outlined in the application <br />ocedures and hereby agree to pay all statements received from the City pertaining to <br />iditionat application expense. <br />l�r <br />rt jr, <br />(Signotur of Applicant) <br />Clerk's exhibit no. <br />rLLrt,rnrntntinn and plans) r rtr.v_.7 -8 -78 <br />60 G <br />