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Applicant <br />Little Canada, Minnesota <br />APPLICATION FORM <br />N9 610 <br />Aki <br />PAID RC.e° <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 />e <br />(Name) <br />Owner cAN�C 14c (N - <br />(Address) <br />1-\ °■ —l-c cS�� <br />(Phone) <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />�a � vaPncx -A. <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />85' \_Erc <br />PALO <br />SJ2 <br />CITY OF LITTLE CANTS <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 15 <br />WHITE — Office CANARY — Customer PINK —File GO L6— Planner <br />ure of Applicant) (Date) <br />