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Applicant <br />Little Canada, Minnesota <br />APPLICATION FORM <br />N° 593 <br />PAID <br />Rec. No. <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />t . V LA-e_-c 2 a° i, (2.lu S7' - 4,4%- (0? <br />z� <br />(Name) (Address) (Phone) <br />Owner rr••t -S () SC 4 ulcK i0(--k1'1-- F7.,-awt...: 2n. LOU.) ?¢.. c1.1/413 -882-0 <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />Zc oo 2\Lt_ <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />' t V WR-kf, JL-L No.) R{IiK1•41.+1-__ LOttNr\A.cM-1.0■1 Skso ) 11N i-ot <br />0 IF �iX\ t'Jb 9 tLUVJ SI‘ltJ {f NJ `f2 LL. t'.l`(L A <br />PAID <br />JL%02 1992 <br />FC1T!l; <br />OF {ITTLE CANADA <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 />Page 6 <br />WHITE— Office CANARY— Customer PINK —File GOL <br />('Ignature of Applicant) <br />anner <br />(Date) <br />