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Little Canada, Minnesota <br />APPLICATION FORM <br />N° 466 <br />an <br />PAID <br />89 -18 Rec. Noa"aa -f-c- <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 G,0 S /AFf K1 314 4 //-71r c4%74eARA <br />(Name) (Address) (Phone) <br />Owner <br />(Name) <br />Property Location (Street Address and Legal Description): <br />a /`/ /jc- ST <br />(Address) (Phone) <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />744 <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ing and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />in the application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. P g ; 6 <br />y / <br />(Signature of Applicant) (Date) <br />WHITE — Office CANARY— Customer PINK —File GOLD — Planner "ro <br />