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Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />N9 639 <br />PAID CC'}.. C'� <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />Applicant Ct,41/ / c S/ ea-flee/GK../ /Pc7 9d6e— g2, 3s <br />(Name) (Address) (Phone) <br />Owner <br />��A�YYGC/ <br />(Name) <br />Property Location (Street Address and Legal Description): <br />(Address) (Phone) <br />74 e, west.' Ay-AoVt- /it e e / 1-5-6 "e el- a `C r- 5PVAAi <br />6 6 , 6 Dee- Dv`— 7 e- Sass -i/ s 7 Q ems✓ a/ //c 9 ,/% we S:71- <br />r <br />Q�IA✓ � <br />�� o� e c /o-1 aw0 f,1` nn <br />/ Jc <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />PAID <br />JUL 2 8 1993 <br />iCIiY, 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 />-C iL ZzAzt424e12 -9 <br />(Signature of Applicant) Page 92 (Date) <br />WHITE— Office CANARY— Customer PINK —File GOLD — Planner <br />