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Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment / <br />Zoning District Amendment Variance <br />N? 63/ <br />PAID ,-D OCR <br />Rec No <br />Conditional Use Permit <br />Text Amendment <br />Other <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />Applicant Ca_ .s - /t) - 2C /o /� °• � �« fT <br />(Name) (Address) (Phone) <br />Owner r>irr4.r • u . /- <br />(Name) / (Address) <br />Property Location (Street Address and Legal Description): <br />AA, /" a0-c. J f <br />/02 a.E S•T- -- <br />//% s` i s/d 1 <br />/f/ f/6 vj <br />P 5/`/ o /z,v. <br />(Phone) <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />/ — Os sT / ..z-• 70 • r./ V ' / ✓,7,1. _ 42,t- <br />/ /:c ms's <br />o .> <br />"f e'er GO r J <br />/Ye - a/t r 7— A), te r <br />e - <br />/ 9 . <br />qu r-- L r <cc:4r F- .> _ _> " j..+tV ('.� ^ /i� / �' r <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. j <br />Page 11 <br />e <br />(Signature of Applicant) <br />(De) <br />