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D2• <br />Applicant <br />De. <br />Owner <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />ITT° 549 <br />PAID lQam <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />,//Q <br />o t/j Hes& Le-_ L/? /‘e, rce l Qk <br />47/741 S' 2-2— ( <br />me) (Address) (Phone) <br />e prc c K . K-•, ,/ee <br />1(Name) <br />S a icy -_< <br />Property Location (Street Address and Legal Description): <br />(Address) <br />(Phone) <br />r‘ /35'D <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />7a S"p /; f 7-/r-, A/-0 /.-4 r <br />3 S =� �r /-, <br />c lL->-f L- c , 2 ( <br />OCT 23 1990 <br />In signing this application, I hereby acknowledge that I have read and fully understand theapp alvje'ppe#( D f the Zon- <br />ing and Subdivision Ordinances and current administrative procedures. I further acknowG {He ke'A'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 />(Signature of Applicant) ([)ate) <br />WHITE— Office CANARY— Customer PINK —File GOLD — Planner Page 20 <br />