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Little Canada, Minnesota <br />APPLICATION FORM <br />X <br />Comprehensive Plan Amendment <br />PAID <br />N9 669 <br />Rec No <br />Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />'�-1CALLA Cow ?. <br />W <br />Applicant 1 B tAeu , <br />(Name) <br />Owner <br />c9 On Plan Review <br />.13.0.. <br />One �omrn co <br />rporal -foh <br />Nutt ber 7 Dorsm4}-, 5 +. Pa'4 i'fAl 55;x8 <br />(Address) <br />L.eonaorc4 5 ct^ v te9 , 39 ti. 11ikiva Dr. L/fe Canuja. <br />(Name) (Address) <br />Property Location (Street Address and Legal Description): <br />450-(0594 - <br />(Phone) <br />4 3-1.3c.? 3 <br />(Phone) <br />39 tA). Vikiti Dr. (Pint: 07- 079 -0Ra -33 - 0010 -1 <br />Ea5-1- Sv -Q4. Lo4- 38 3'F. ZviSehmevt.5ers 6-at-de" L04-s, <br />5(dkij e c¢ <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />E55evt4(a\ 5etruice ra &io 4- occ.er avvcQ u4- I1•1-y s4ruaguve %yu>ioyneat <br />6h,elkr as - fetvv<44ecQ by 5eo. `x/2.040 5 9'03. 00 E..) 51071.0,0. <br />+or low Bower uomavlvied Cavrwnunioai-caus %aci!t y Ca <br />E5 n R (CeIIt.Llar —I ) . wit( CUnSISt c't- 0. <br />Ia.' x 20' x Id darn G7u411,nen+ Stnet'l -eC ova cc. 100 Cf. Mt/ <br />►'VI oaerde, ta.9i+h +riavtqul0..f ct" i'-rv,lna. p /o1 'orvvf a1- i-1ne, <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. 1 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. One e nn CO(Tel/c.f.-1-(On <br />by; <br />(Signature of Applicant) <br />WHITE— Office CANARY— Customer PINK —File GOLD— Planner <br />Page 55 <br />1-07 $ -94- <br />(Date) <br />