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1 -1 H I <br />CITY OF <br />LITTLE CANADA, MINNESOTA <br />APPLICATION FORM off" '°4 <br />gzct <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />- Conditional Use Permit <br />Variance <br />X Subdivision <br />Planned Unit Development <br />Applicant I" I,,, ,., c- r-c1cr nL 63 -Ld.r IflnclJ.,. y�-2 -au. -C <br />(Name) (Address) (Phone) <br />Owner 2. 11;n1akC6 ?im Dell, - -- cc l (3 3 -O i 5 4 <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />1 <br />Ir ..>Jr, <br />0 <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />(n (, -I- <br />I e <br />l_zr <br />S 1. <br />In signing this application, I 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 agree to pay all statements received from the City pertaining to <br />additional application expense. <br />3 nature of Applicant) <br />VOZG <br />Cl.,erk's exhibit no. <br />(Plense attach suocw ,,.., _ __ entntion and plans) ,,,p 4 „T_�_p _,7q <br />