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c <br />Little Canada, Minnesota <br />APPLICATION FORM <br />N° 575 <br />PAID 200E ? <br />Rec No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other VF.c +4-c \o\ Planned Unit Development <br />Plan Review <br />Applicant <br />1,. c Q -�1 �c m Q- �� MF.CI`\ <br />(Name) V1p,‘- It-Th\LE. \ \e., -7-S Z(Address) <br />(Phone) <br />Owner <br />(Name) <br />Property Location (Street Address and Legal Description): <br />Zvi 0 5 C o .i — n- Y "7 CA v ic <br />(Address) (Phone) <br />Description and /or Reason for Request (Cite Ordinance Sections): <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 :..r.►.ru...temen • •ceived from the City pertaining o additional applica- <br />tion expense. <br />WHITE— Office CANARY — Customer PINK —File <br />gnature of <br />GO LD— Planner Page <br />plicant) <br />(D e) <br />