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~ '~ <br />~~ ~R2 <br />Little Canada, Minnesota PAID . ~~, <br />APPLICATI®N FORM Rec. No. <br />Comprehensive Plan Amendment ~ Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment <br />Other <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />o <br />Applicant ~J~ .~ Z`, ~ -vf' .tv~e.. ~/7d. ~ ~c ~fv15Sl~°i >~,$"f,.ys>rs,~.~~C' <br />(Name) (Address) ' (Phone) <br />~L~,cr <br />Owner '~,~ l~t.i\ O f.a. ` ~y~ ~~..6V ~~`. ~rf //~ ~SVruLI'~ ~'VIl~1 5~~~ / S~'Z,j~"fj ~L'~ <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />Description// and/or Reason fo{r Request (Cite Ordinance Sehct.~ions)~j:/g ~` <br />///J //,~1 /{~ <br />~~,.1GIG'~'°z ca.~r /Lvt.G ~cr1A't~ ~~G;.)...~Ci'GC..G~/~.w° L~.%~cY i2.~> ~/~i.~ 4r ~L~t~l <br />~. <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />in~ and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />it ~ application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. <br />Signature of Applicant) (Date) <br />WHITE-Office CANARY-Customer PINK-File GOLD-Planner ~,~„e <br />