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Little Canada, Minnesota <br />APPLICATION FORM <br />N° 47 <br />PAID`'' <br />Rec. No 3-7 , <br />Comprehensive Plan Amendment y Conditional Use Permit <br />Zoning District Amendment X Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant—Do/(%4Z tAfie, lo3�p 4,y5o,ec. .d'Z /e 3-.57/7 1f4 49-cr‘o <br />(Name) (Address) (Phone) <br />Owner c44GD 1046» O, !p 1/06-46- /e i•e. 7X.e) 537/7 444 016,0 <br />(Phone) <br />(Name) <br />(Address) <br />Property Location (Street Address and Legal Description): <br />63 .42 ,C /c/ . e v 6—C// <br />Slack ? 7h40(it S) $.97 <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />JU‘_1p1989 <br />c c <br />Pct <br />/frm. Shea 65, f, e �7 / UI/ <br />l(r?,C_41.,/ eil /G <br />;by.) -ieedgeig A7ifect-S- dice_ <br />zacer' d iediai/ etil t-a �� �& aa%.mil <br />£!Q gil7d. .a_ & e-At 4 <br />In signing this ..plication, I fiereby acknowlei'ge that I have read and fully understand the applicable provisions of the Zon- <br />ing and Subdivision Ordinances and current administrative p d cedures. I further a knowledge the fee explanation as outline <br />in the application procedures and hereby agree to pay all s ements re 4 ed f m the City pertaining to additional applica <br />tion expense. P a g iI3 <br />( gnature of A•.hcant) (D• e) <br />WHITE— Office CANARY — Customer PINK —File GOLD — Planner <br />