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Little Canada, Minnesota <br />APPLICATION FORM <br />N? 531 <br />PAID /O-) <br />Rec No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment x Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant <br />Owner <br />(ha(k5 r f1-hn \le 01141 - ch (,7-6 E • Co. gel 132_ <br />(Name) / (Address) <br />a✓rru c,,A ex.-00 ve <br />13/919 --9tJ51 01-27 /-26Ec <br />(Phone) <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />t, z.0 E-. c_o.Ra E Z <br />Cop j of s corci .&v,dosee, . <br />PAW <br />ALL -3 TM <br />AMYOE=UM <br />r <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />k r -f-- y Zvi -jot tern ndiAekr4uP <br />`ta la ca- ci � 4014 4 VW dit we ,T, Q <br />CeOVICCOZA q ' d <br />? pwvl. pig i o t £ <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 />k d d--, 7--3-10 <br />( ignaturG paAgpplier ) (Date) <br />WHITE — Office CANARY— Customer PINK —Pile GOLD— Planner hY'' ee <br />ems. �o <br />