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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 522 <br />PAID /O-c) <br />Rec. No <br />Conditional Use Permit <br />Variance <br />%< Subdivision <br />Planned Unit Development <br />Plan Review <br />/ <br />Gesjj R. <br />nu c era e_ ?38 � 64, Rat 6_01_ Applicant C /Q.vN0. /` • (ICI co- kti e. 7P-0 ,6 -a. vgy--a878 <br />(Name) (Address) J (Phone) <br />Owner <br />(Name) <br />(Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />Tao ct,,Jcl 73s a Gly, tot <br />fr,A,I,D <br />NAY 2 9 1990 <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Off) etcff.» 7 See XS 70 el feu XSf '2 p 1. /oJQe -v 4. y O W N °e <br />�7�1t /e. A.\ 44,5 SkoC,Jr� o..) 7'4C c de-C" /SCA -fru7. <br />citcU75 14L y��`o.¢C.t�itj C1p gi�tla�� OWNad <br />C /Q. fry �l zt_GGu /'e._ Q 444.8.0-)-5 TAe i CO j�W c� c1�(�/�¢ aJ <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 />G.4aid Air I- CCAL.. �� G� <br />(Si1na ur of/App icant) (Date) <br />WHITE — Office CANARY- Customer PINK -File GOLD-Planner &) -'+f2 iV kcady `� °'o <br />-A.l_ <br />