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Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />N9 502 <br />'S6�'`t <br />PAID a <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />Applicants4&1'MAN- l4oasse- r C.'5.90,¢rVY /fr1 3 ° — °gve: ; .,V /IlrQr,/fA/rrfly 332 -5-0o <br />(Name) (Address) (Phone) <br />Owrer ,Pox R',1 (' 1 r /// itird ,/!7r°5 ,04/ -r rfl7 33e :3doo <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />/19.ecez. .Z 2.&SO £rc s Sr � �rrrcr L.* vrtois', /flit/ <br />AbeeffC r- 24 90 ,e-re-e- Sr Z1 -2-rl4"-- c'i..1pO/9, /124/ <br />Ser. ,iprrnredaD retie L„s4,4% -z a-se e eio - E , wej r <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />$e /trrigCNe=D - ,6;&-nrerr <br />T/tc SaeT »aT -is <br />Oa:NANCc 9031/0 - S,t4Nf1GC <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 />WHITE —Office CANARY— Customer <br />(Signetufe of Applicant) <br />PINK—File GOLD — Planner _P_,n . 4.4 fl.. <br />(Date) <br />