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Little Canada, Minnesota <br />APPLICATION FORM <br />N° 620 <br />PAID ` a 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 />Applicant -1-Z0MfPt�\ vn\&me \ ` 11;V 57 t> /V . e_-001A1AP\ 4691- X 05 <br />(Name) (Address)0& 2v\ \ (Phone) <br />Owner — A\ CPC-A-4 \C- R\ \\ co c13-VM C('T"'. MPAtS`r c� <br />. 2 - ee�tt�t�C -�Q <br />(Name) (Address)VN`sRrD Q'_, ,)I•AO (Phone) <br />11AA <br />Property Location (Street Address and Legal Description): <br />?off CcKikA-vy \5»r \Y <br />OFF � Vk_ N -X <br />?. \- x=22— "000E-) <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />1\cmcmcnc,X OF Crcnv eceAC--- �tt-P hS <br />PAID <br />FEB 0 2 1993 <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 adminis Nye procedures. I further acknowledge the fee explanation as outlined <br />in the application procedures and hereby agree to pay • statemen s received from the City pertaining to additional applica- <br />tion expense. <br />M1 O I <br />Page 12 <br />g <br />WHITE— Office CANARY— Customer PINK —File GOLD — Planner <br />ature o <br />P <br />can <br />2 -a3 <br />(Date) <br />