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Applicant <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />Owner r1 <br />N9 604 <br />PAID 0-0. frG <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />17!' Rh. X95/ <br />(Name) (Add ess) (Phone) <br />(Phone) <br />yneJ <br />(Wame) <br />Property Location (Street Address and Legal Description): <br />7 A2$ Crndd'i S> ►'CAL'} LA/ Canddi& Mn. <br />(Address) <br />z ss(Q5 Ccz1 i `r y or iv , (gngda, <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />pun Yvyt f cth DYl <br />AUG 0 4 1992 <br />CITY OF LITTLE 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 54 / /1l <kirnylr1�G &tom- -�-/ -- qZ <br />gnature of Applica y�% iifi0' (Date) <br />WHITE— Office CANARY— Customer PINK —File GOLD— Planner /,J/ v "s�,! �o <br />