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CITY Uf <br />LITTLE CANADA, MINNESOTA <br />APPLICATION FORM 35d. <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />ICY -r;--27i 9?3O <br />- Conditional Use Permit <br />Variance <br />Text Amendment Subdivision <br />� ''q p /� Planned Unit Development <br />Applicant 1) "L Ai l�J x 6' 1)p E, aVrii r1 1� 1� l of `f� l <br />(Name) (Address) (Phone) <br />Owner 4-- 4600t-, <br />(Nome) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />Lin-T2 C alt4n, /Mr✓ s_� ll7 <br />O <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Rezone from R -1- to R -2- and conditional use permit for <br />tri -plex <br />In signing this application, I hereby acknowledge that I have reod and fully understand the <br />applicable provisions of the Zoning and Subdivision Ordinances and current odministrative. <br />procedures. I further ocknc•vledge 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 />30 <br />(Please attach supportive documentation and plans) <br />1 <br />i <br />3 /7 /Z <br />ooze <br />Clerk's exhibit no. <br />Meeting-2-8-78 <br />