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Little Canada, Minnesota <br />APPLICATION FORM <br />N° 478 <br />PAID <br />Rec.No 229-/ <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 />%r K tc?J LT Dr , IOC. / 9(> ilri, vPCZ I/ rY H v c 51- PA pc, , 4 — <br />( t.'. <br />Applicant �dif�+t�F - 1 3:Z <br />(Name) (Address) (Phone) .lf4_2ot., <br />Owner <br />6 unit:C/2cA/U.n f I('3G, <br />(Name) <br />Property Location (Street Address and Legal Description): <br />3� &o Ce-pyria 11Lc6 R ,4c.D <br />t <br />(Address) <br />O(00 Cottretkl ccc.0 R 1 D <br />(Phone) 452,_ <br />et- <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />PL A -A) ,rev t -n-J (tD jz Ma-.) ,q-pp/ 7"f osd <br />G.�J.P r b , . Do-rS/DE 5rb ,4 5 <br />- 7i?,ai(,Cesi <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 />Page 63 y <�,24A <br />(Sig ture f pplicant) <br />WHITE— Office CANARY— Customer PINK —File GOLD— Planne/ <br />(Date) <br />