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Little Canada, Minnesota <br />APPLICATION FORM <br />PAID <br />N? 627 <br />Rec. No <br />Comprehensive Plan Amendment . Conditional Use Permit <br />Zoning District Amendment <br />Text Amendment <br />Other <br />Applicant G KJ&, <br />(Name) <br />Owner <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />Ii,i�'�i P 7,7 %2/— 0 P <br />lj ddregs)h„A (Phone) <br />�xi"i <br />(Name) <br />Property Location (Street Address and Legal Description): <br /><3 <br />(Address) (Phone) <br />Description and /or Reason for Request (Cite Ordinance Sections): <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 sta •men received t,om the City pertaining to additional applica- <br />tion expense. <br />Page 28 <br />WHITP— nffirp rend e P V_ri,<.e, rno. PINK._Pila <br />y -,773" -93 <br />(Signature of Applicant) (Date) <br />in n_o,,,..e. <br />