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CITY OF <br />LITTLE CANADA, MINNESOTA <br />APPLICATION FORM <br />Comprehensive.P1an Amendment -Conditional Use Permit <br />Zoning District Amendment ✓' Variance <br />Text Amendment Subdivision <br />Planned Unit Development <br />Applicant Gra.<j 5 i ✓ rCti S'f glen- 73s' G:1'GC <br />(Name) (Address) (Phone) <br />Own er ,jail ;,,; ire.,_e S-, <br />(Nome) <br />(Address) <br />Property Location (Street Address and Legal Description): <br />2.9Sc /v . r4a, <br />(Phone) <br />J <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />P. C- 41(e -. .Ir:tses -l- s'i. ei /J e- tc:.ca y.- <br />s fr.t a F <br />Wi <br />NI' <br />In'sii ng -this application, 1 hereby ocknowledge that I have read and fully understand the <br />applicable provisions ofth -- Zarting-and- Subdivision Ordinances and current administrative: <br />procedures. I further acknc vtedge'the fee explanaftdi as outlined in the application <br />procedures and hereby agree to pay all statements received from the y Cit p rtnining to <br />odjifion¢i- -application expense. <br />31 (Sign lure of Fpplicant) <br />6ArsVg 2- <br />Clerk's exhibit no. <br />(Please attach supportive documentation and plans) Meeting-2-8-78 <br />