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Applicant <br />Owner <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />2vnt $eievt#4 <br />(Name) <br />3 0( 0 <br />c eie vet c.e <br />N? 506 <br />PAID a`jo <br />00 <br />Rec.No .a3SS0 <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />21 <br />l�✓ bfraso.✓ <br />(Name) <br />Property Location (Street Address and Legal Description): <br />306a <br />eM'eMvA.c- e <br />(Address) <br />(Address) <br />Lrrn-e 4.4 <br />sag ii7 <br />C,Q?2 -7Soo <br />(Phone) <br />(Phone) <br />PAID <br />4 M•✓ sselq <br />FEB 26 19 <br />'MY OF LITTLE DMA <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />ke9vesr- <br />4 A ennrc. <br />/et pie rtrio ✓ <br />A <br />77 1 <br />re G L. 4O wr <br />tv B t <br />0 2f. <br />.✓A �.. <br />C 2 ,4-Ave <br />.4-4d2 es s <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 syements receiv•, from the City pertaining to additional applica- <br />tion expense. <br />(" ignature of Applican' (Date) <br />WHITE — Office CANARY— Customer <br />PINK —File GOLD — Planner <br />Page 31 <br />