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Applicant <br />Little Canada, Minnesota <br />APPLICATION FORM <br />N9 563 <br />PAID e/i?/ <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use �r t <br />Zoning District Amendment Variance <br />wi 8- 1991 <br />Text Amendment Subdivision <br />Other Planned Unit l'„ ` xlr m CASI9N <br />Plan Review <br />/7?a SIC MCALxx(r.. <br />(Name) <br />(Address) (Phone) <br />11 (( i1 t� <br />Owner <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />agar <br />/�c <br />rN oo, /9 „2� 4// Coop 8 <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />PU,a ,- /r" <br />/•1 o r LEGA %b riyrulr re <br />/Tr( /* 7� L/eoa.nYC/ do Li,nc,s <br />/C/ /C /(n%i, -/ f /-c, c, ie 7 n/4Y(Cc" Li "--C. <br />/Y. d 7( Lr� ter. f f'nrn -� 7* a Grr,til4s y <br />5Ui /d74/ /CJ - 16, / /)J�� /(,n f' /7C7S <7i7(,, <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 />WHITE — Office CANARY — Customer PINK —File <br />(SignaturQ pff AAnnlicagt) (Date) <br />GOLD — Planner II--'' ee OO yy <br />