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Little Canada, Minnesota <br />APPLICATION FORM <br />N? 477 <br />rrte�-- ��CC <br />PAID ^?='<J <br />Yn �` Y r) <br />Rec. No � <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant ST Cl2o /X c ",pg /C 21 IA; 11/.r/j)l- <br />(Name) (Address) <br />.7G G>UTs <br />Owner <br />(Name) <br />V82 -134 <br />(Phone) <br />Property Location (Street Address and Legal Description): <br />2°1 1,U • UIk lN( PeAVE <br />(Address) (Phone) <br />:t <br />.lUL 31 1989 <br />TY OF <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />U / (a An-) F300/ 7-70.--) l?) CA-Zs;7 377C uc.22C-- <br />oua (1_ 2.2etJC <br />4Y5 ,'c2 <br />In signing this application, I hereby acknowledge that I have read and fully u <br />ing and Subdivision Ordinances and current administrative proceecJsues. I f ther a <br />in the application procedures and hereby agree to pay all ments recgived .fro <br />tion expense. <br />rstand t pplicable provisions of the Zon- <br />ledge he fee explanation as outlined <br />e City p• rtaining to additional applica- <br />WHITE — Office <br />Page 22 <br />ignature <br />CANARY— Customer PINK —File GOLD — Planner <br />Applicant) (Date) <br />