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Little Canada, Minnesota <br />APPLICATION FORM <br />N° 635 <br />PAID �it.JC ./ cC <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment X Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant Thor) . Orr_ <br />(Name) <br />Owner NN�c <br />) ?4- 1—1 <br />(Address) (Phone) <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />Lc c- - A- P5\ a., no *e sue, \ t <br />DS- 027- 2s --/3- oaa 9 <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />r \ F'cn !c•a::‘ \\ n■ \ \ , <br />C•ac — v.`:v n-\ y r r \ <br />JUN 3 0 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 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 67 I. s <br />(Signature of Applicant) <br />WHITE — Office CANARY— Customer PINK —File GOLD — Planner <br />(Date) <br />