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c (_ <br />Little Canada, Minnesota <br />APPLICATION FORM <br />47Q <br />N9 <br />PAID dot C <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant Finea <br />(Name) <br />Owner \1 - „ -3CP <br />(Name) <br />�52� f 1 3 `1-t3- 037..c <br />(Add ss) (Phone) <br />0525 ��CeerV I. le a. -ae2� <br />(Addre ) (Phone) <br />Property Location (Street Address and Legal Description): <br />I..Q-\5 L)- a ?cekr\ck3\ €Jel o P d A\ot, ■e Vd1P1 <br />tV <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />(-,\0 6-, cL__ ■_c_\- a_ a_bac 2 40 <br />i-O th \rock 7 . <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 />WHITE— Office CANARY— Customer PINK —File GOLD- <br />Page 21 <br />(Date) <br />