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CITY OF <br />LITTLE CANADA, MINNESOTA <br />APPLICATION FORM <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Next Amendment ci57' Subdivision <br />Planned Unit Development <br />Applicant L)JtIA ?)/5427 its" )J2- 6/tV(OES• 71/ 44'C c.E. <br />(Name) (A9 ..4-0�� / (Phone) <br />Owner !mil p `S AV -1 4/ <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />GoT / ( ftoct. / , L i r iz c cs-Ar.+� /kit- C.. /1 r U`S <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />r9%4 ,(1 Vms's 70 ACT �a.3:7/17 <br />M' h dcL4 JQ n S <br />r <br />In signing this application, I hereby acknowledge that I have read and fully understand the <br />applicable provisions of the Zoning and Subdivision Ordinances and current administrative: <br />procedures. 1 further ockncwledge 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 />-17 <br />r <br />ooze <br />Clerk's exhibit no. <br />