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_., I . . <br />~~ -~nRR <br />Little Canada, Minnesota PAID ~~~ <br />APPLICATION FORM Rec. No. <br />Comprehensive Plan Amendment Conditional Use Permit <br />Applicant <br />Zoning District Amendment <br />Text Amendment <br />Other <br />C~ n ~, <br />Variance <br />X Subdivision ~/Y~G~~=~`"""'/ "" i ~~ `~-6 <br />~ "7 s (~~ ~ <br />Planned Unit Development <br />Plan Review <br />(~S 1- ~~ ~~~~~5'- <br />(Name) (Address) ( (Phone) <br />Owner ~ ~---~ <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br /> <br />Description and/or Reason for Request (Cite Ordinance Sections): <br /> <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ing ~ +Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />in t, application procedures and hereby agree to pay all statem~e ived fro~~ Y Pertaining to additional applica- <br />tion expense. G <br />~J ~ ~; ~v <br />(Signature of Applicant) <br />WHITE-Office CANARY-Customer PINK-File GO LU-Planner <br />(Date) <br />~a~ fiul <br />