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Little Canada, Minnesota <br />APPLICATION FORM <br />PAID <br />N° 520 <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other r Planned Unit Development <br />/%.v. +k ;$ is -}"o rV n0& f e J' P °� 8r�� <br />— Gcz& ScNZOEi2 Plan Review <br />Applicant GeerGOOZY &ERnV 5Cff<UiiC 543 Alesjt Cot, At'y 2.0. C </S3-loSSA <br />(Name) (Address) (Phone) <br />Owner S # 6 Fk5 4-6'o1/r <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />4' 3 Wert Coat' -4 4 /,t C» ti/mkj /77". ash 2� ` 0E 33D et. <br />rno re a C /ess c F +Ht e- S 1^% QV 4-HeR, <br />IC f}N ere 22- R sc7 riN• <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />5W Ovariff Sec. 6 T v sAe p oz' <br />lof Sebf - s„5 a /1,;, <br />K / o •{-I t cs-t-- -west- - 5:o1)z <br />/ 35 or+kern. mast- 6'caprt i ,tt c <br />LE CRON <br />In signing this application, I hereby acknowledge that 1 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 />scJd, , r -e-90 <br />(Si §naturo'of Applicant) <br />Page 24 <br />WHITE — Office CANARY — Customer PINK —File GOLD — Planner <br />(Date) <br />