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Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />other VPGPrrip <br />Applicant Aka i? ale/SO/!% <br />(Name) <br />N° 573 <br />PAID $2� <br />Rec No <br />Conditional Use Permi <br />Variance <br />Subdivision <br />'AID <br />JUL 19 1991 <br />Planned Unit Deveropmeen LITTLE CANADA <br />Plan Review <br />In7� E CJO M 4 u oar c✓ ~%%0- 3 `l /S <br />(Address) (Phone) <br />Owner <br />(Name) <br />Property Location (Street Address and Legal Description): <br />(Address) <br />(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 to pay all statements received from the City pertaining to additional applica- <br />tion expense. Page 15 <br />(Signature of Applicant) v <br />WHITE— Office CANARY— Customer PINK —File GOLD— Planner <br />7 -72- 2/ <br />(Date) <br />cog <br />