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N 89-17 4 /'� <br />Little Canada, Minnesota PAID 0 w • O° <br />Rec. No "/ e5 <br />APPLICATION FORM <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment '7` Subdivision <br />Other Planned Unit Development <br />Plan Review <br />C. e <br />'r Oe ) .4 <br />dicant ..P,�1- <br />(Name) <br />E. s4- i& /A 1191 —q cl <br />(Address) (Phone) <br />er TtPF 17..64-ce (Phone) <br />(Name) (Address) <br />Jerty Location (Street Address and Legal Description): <br />„ . u <br />a.°) LEA Le s�.ov'e Au S P44,), L:l -1-le cA,„ .4 <br />cription and /or Reason for Request (Cite Ordinance Sections): <br />ST— "G4:. <br />MAY 1F1989 <br />CITY OF <br />igning this application, I hereby acknowledge that I have read and fully understand tli vitE j $.NV(phvAsions of the Zon- <br />Id Subdivision Ordinances and current administrative procedures. 1 further acknowledge the fee explanation as outlined <br />application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />I expense. P a g X 6 8 <br />— Wei <br />(Signa `rr of A!plicant) (Date) <br />TE— Office CANARY -- Customer PINK —File GOLD— Planner <br />