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Little Canada, Minnesota <br />APPLICATION FORM <br />N9 640 <br />PAID��\ <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment n Variance <br />Text Amendment Subdivision <br />Other (�cr.i�∎cAt Planned Unit Development <br />Ce <br />Plan Review <br />Applicant <br />(Name) <br />Sc c,/ /Ey <br />Owner SPcv-A\- <br />�rCY71 (\c-7-c- v- c— V5m <br />(Address) <br />(Phone) <br />(Name) <br />Property Location (Street Address and Legal Description): <br />me'co \ IN enrv.` tm <br />(Address) (Phone) <br />DESC. <br />EX W 401.14 FT OF S 52::.2U (SUBJ T3 RD) OF SEC 4 Ttr <br />FT t E7t—tr tr09—>cT QF—f 4'9— Rtt--' <br />862.98 FT OF S 522.28 FT <br />EX S 250.8 FT OF E 262.98 <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />X4c-1)) <br />-Thcm ( _ <br />PAID <br />JUL 301993 <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 66 <br />tC c 4Ct &c <br />7/70'1. <br />($(nature of Applicant) <br />(Dat <br />WHITE— Office CANARY — Customer PINK —File GOLD — nner <br />