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Little Canada, Minnesota <br />APPLICATION FORM <br />�jN° 538 <br />PAID O0 <br />Rec. No <br />Comprehensive Plan Amendment Conditional. Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />_..12C___. Other CP . FL-Pr--------7 <br />Planned Unit Development <br />Plan Review <br />Applicant ,E) 9I Y. 4 4 V <br />(Name) (Address) D (Phone) <br />Owner <br />y'x,.,,,,k o ps,@frit ado 3 4/12A Vig- a b <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />f)Qn JA;1 Q P n aM < -tm ura <br />In signing this application, I hereby acknowledge that I hailitlec208d444 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 .w m the City pertaining to additional applica- <br />tion expense. C' nnOE Int <br />Dt-g ouLe 2/g.90 <br />(Signature of Applicant) (D te) <br />WHITE— Office CANARY — Customer PINK —File GOLD — Planner � <br />r�G co <br />Page GV <br />