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N? 454 <br />Little Canada, Minnesota 89 -6- PAID 250 • °o <br />APPLICATION FORM Rec No —z `S( <br />Comprehensive Plan Amendment X Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant <br />KVBM Television Inc. and /or assigns (612) 831 -2299 <br />(Name) (Address) <br />(Phone) <br />Owner 5001 W. 80th St. #901 Minneapolis, MN 55437 <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />City compost site south of Ryan Drit,e west of Country Drive in the <br />industrial park; see accompanying site plan. <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Construction of a television transmission tower is a permitted use in <br />this district with an approved conditional use permit <br />In signing this application, I hereby acknowledge that hate read and fully understand the applicable provisions of the Zon- <br />inc �d Subdivision Ordinances and current adminis ative procedures. I further acknowledge the fee explanation as outlined <br />in . .. application procedures and hereby agree to p all statements received from the City pertaining to additional applica- <br />tion expense. <br />(Signature of Applicant) <br />WHITE— Office CANARY — Customer PINK —File GO LO— Planner <br />3/2/89 <br />(Date) <br />°rj <br />