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Applicant <br />Little Canada, "nnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />(Name) (Address) <br />89 -16- <br />I\1° 464 <br />O0 <br />PAID 700 —' <br />Rec. No ZZ.a <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />z' ,Z a, z <br />(Phone) <br />Owner .C/�er �7 . /i7�OSC 3C `77 L,,9/ c• C - <'• �l/ Y ?�l Z -. <br />(Name) (Address) <br />Property Location (Street Address and Legal Description): <br />JO 97 .G, t ,e /G 4 . <br />(Phone) <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />.2f_ri-,/'tee -Q1rr - / <rc A.Zz ' F1,✓ ✓.) eP ;r /� < .Sr`z,E'n2CE-Su/• ��� ✓G s <br />Lo /r/ /--X /frin/( ...177/ 4ia,i_'ge; C >' LE: /i7e Gttfrc// u/ree �s! lrS> lr,P� <br />,S7"6/'f2 C/_ ,3z.i)i c ' /7-7 / / /9C,C a% Lc r /rce Sec/472- A.''.3 rE 9ic,FAZ <br />A?,r/,•JJ ..5-44 /rye •//7e r?O f.v/f_-nS c- ,61n/7G. S.s4,az(',4 7 <br />/774/G<y+ o/= <c'/i/ /ci/ 71/29.1' TD .34= Sro,C C2s,s -t ',, 4iict /-( »QC'9 <br />c-<4d.S.ES /r/z` , �i �/SC /?.r/� /-/-7,61.1)..5/71/P zei%/F_.. ? . A/f_i" >s Tf /,Fi <br />l <br />/).4.9„v 7iX.e,e5:ye - - 5,CAScA/ '.E'�i/ f1.✓� ,9 r-.4c , ✓� <br />cr,-fA,eg-c,G TD /A7 /%e' <br />f�L S71-0 ,ee-<2 /A/ /7-79 /j9.C7) //l /�:G17"C/<E' ' .. <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. <br />age 17 <br />WHITE— Office CANARY -- Customer PINK —File GOLD <br />(S .nature o Applicant) <br />nner <br />•s�� /7 <br />(Date) <br />