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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 />Owner <br />tl.�% <br />(Name) <br />(Nome) <br />i j c <br />(Address) <br />-Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />(Address) <br />Property Location (Street Address and Legal Description): <br />,✓ A * S/ <br />(711./'/ ; a7 , <br />S / / /%Z,. -/—a—//1 <br />(Phone) <br />i <br />- ;c i�- <br />(Phone) <br />O <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />ice,, <br />2. -3C (7rieto e�E «��(e: �e TT-, <br />O S;9/1 r /xC- 2 54 y) 57 (i,n�-�,c - <br />x .s,y., _ 7sJ1 <br />(5, „ F � i � �: � 7r " v2( : 3 Y 3/ 7) / /(' ( <br />r ,7 , ,� - < � i, <:,,, .' s. it 7 (r r 7,,,, ;:;,, <br />/1;"1.F.:% ifele } e.el, - /,. // <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 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 />4 <br />ature of Applicant)y/ <br />OOZG <br />Clerk's exhibit no. <br />(Please atiuta. .-- _- ..- ,:ntation and plans) ;-ieeting- 2 -8 -78 <br />