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Little Canada, Minnesota <br />APPLICATION FORM <br />N° .529 <br />cro <br />PAID /Qb <br />Rec No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment _. Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant —1140111 (,U S T E LU3R -%— CARt,u000 0/ M. 1,/ • 75 miC /Yf <br />(Name) (Address) (Phone) <br />Owner 14 LL SC-2Y • Ro . E CA-,U E y%C - <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />314 kosE -. L, is <br />r;o c PA-g_4_ Loy I w,ucs 7- Mir" <br />6Cock <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />cu g z r u -r- � � � ° � j' (&7:) , /s c; 3s ' y a /2 <br />R -b e:5 T- ti3 70 Sig / i 7` L of F' R C'_eius rxacf7kt <br />Ci F Ai 64) 6 . A i //� <br />w,LL 6e /ov' Y aR' <br />JUN 121990 <br />Olt tik tusattigla <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 />(Signature of Applicant) <br />WHITE— Office CANARY— Customer PINK —File GOLD— Planner <br />Page 17 <br />(Date) <br />