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r <br />co.ti zs N° 487 <br />Little Canada, Minnesota PAID 2-cj <br />APPLICATION FORM Rec. No 2 -2 `701 <br />Comprehensive Plan Amendment Conditional Use Permit — %-MCNCP 1- <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant k\-( QRaFL SC4- l KY 3311 t-e. -. Qt'r2cctzrc CT VAON JS' 1-Fi� S,S7 25 =434518 <br />(Name) (Address) (Phone) <br />Owner CdrE <br />(Name) <br />Property Location (Street Address and Legal Description): <br />(Address) (Phone) <br />QANKS4 t5t GIc,LAQQ`;� , CCO IkJC73 Sir Z.,rCTt -ce: SSII <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />/REQ■t_S` AN,, Ar e ^,Or-v` ti t` -ro Ov2 CONIJ I-l' t r ' z LSE piRr <br />rnJCPEAS) k-C NuP-•09E2 ALJ -OL(W TO 1"-E7— `'o) <br />CITY OF <br />In signing this application, I hereby acknowledge that I have read and fully understand the appl�twil the Zon- <br />ing and Subdivision Ordinances and current administrative procedures. I further acknowledge th pTanation 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 43 rN <br />\WHITE— Office CANARY— Customer PINK —File GOLD — Planner <br />(Signature of Applicanf)- <br />to /a /P9 <br />(Date) <br />