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c <br />Little Canada, Minnesota <br />APPLICATION FORM <br />4" <br />N9 ail <br />PAID 47,,soO <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment / Subdivision <br />Other V Planned Unit Development S JDO <br />Plan Review yGG <br />Applicant <br />Owner <br />o 4 -r TRaCLI NC co <br />(Name) <br />go$etl- p01-14— Jit • <br />998 /ST ST- N.W. <br />(Address) <br />St.PAute ,H».SSIEz 636 -1344 <br />(Phone) <br />( c ks Above) <br />(Name) (Address) <br />Property Location (Street Address and Legal Description): <br />Pko #•t- Ip * S Mosul -tt -ZI -Dori <br />(Phone) <br />o,- 251- 22 -Z( -OO Z$ <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Pt.or-r( ►2t7-6M►NCr Flat•tNe» Ufa 'r OtUtc.OPa+tNT ¥ ISUILO/Mtli <br />SEW PL -A'.1 teethe-V.4 Fen- NEW G;Rfe orrice. NakoQuArti -IttS( <br />P�►a Fact LIt`f ro4. AtPutAr$t SN'w M A(ba•67 <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 />) . Li -E- . C tf - 5 _Wel 1994 <br />(Signature of Applicant) (Date <br />WHITE — Office CANARY— Customer PINK —File GOLD— Planner <br />Page 114 <br />