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Little Canada, Minnesota <br />APPLICATION FORM <br />No <br />PAID <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />/ <br />Text Amendment / Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant 3de(L onij --Cn 111 FY{ <. <son 16 e, o\d co,Rd. l 2 • <br />(Name) (Address) 1 -q1- -1 _ f3(gh9ne) <br />Owner <br />(Name) <br />(Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />L Canada) v1k <br />n-ES (o *kro 1k � a i nct ve. , PRloc,k 7 , Nor-}-1,1 1-1-e lc�h �5 <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />tspIJ- our In` so we can bu.iIcy GL- <br />Inome. on +-lie net() I4, <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 />1,3 r ev- 5-3 q_3 <br />(Signature of Applicant) Page 43 (Date) <br />WHITE— Office CANARY— Cs!orrer PINK —FIIe GOLD— P'anner <br />