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Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />Applicant 'T1- )0f11A -5 (.0 <br />(Name) <br />N° 529 <br />cro <br />PAID 10-0 <br />Rea No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />S ELva/L"7— c9/, 7 O4RINOOO <br />(Address) <br />Owner AI LL Sur <br />(Name) <br />51Cj R(..SE ( ,iE <br />(Address) <br />Property Location (Street Address and Legal Description): <br />31U kcSE- CI7JE <br />0/ /171f ?S HfVY <br />(Phone) <br />6/ - /9 07 3 <br />(Phone) <br />NEtT14 P- <br />Loy I toes 7-- 9F or SLocZ <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />ccgreil -- X20{ r y, (co-D, /3 c;3(5-/Y a/ <br />Re u &57"i _ f l�tO Split" Lot- /)'C Ca s7YUe7Jc <br />CF /(1btu *9)6 � / 'Tt <br />cvi _ 66 fry y a /3 <br />JUN 121990 <br />tAWOELORESSDA <br />In signing this application, 1 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 applica ___._ <br />Lion expense_ <br />ar/td; - 0-er <br />etiicY <br />(Signature of Applicant) <br />WHITE— Office CANARY— Customer PINK —File GOLD— Planrpa g e 23 <br />(Date) <br />