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Applicant <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />N° �/ 644 <br />PAID tC1t1.� <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development ,A-4.ENPME4.11 <br />Plan Review <br />Icc so. silt" 401c/00 % 332--/ac <br />(Address) (Phone) <br />Owner /WO S <br />(Name) <br />Property Location (Street Address and Legal Description): <br />SOa. A rti e-e-- <br />(Address) (Phone) <br />5s tr Ro 8. G <br />tJ 4tJj <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />A.„,9 E,4 Ks P r) A /4 d- -,- G, f i <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 />(Signature of <br />WHITE— Office CANARY— Customer PINK —File GOLD — Planner <br />