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• • <br />Little Canada, Minnesota <br />APPLICATION FORM <br />N? <br />6 <br />PAID <br />Rec. No. <br />Comprehensive Plan Amendment / Conditional Use Permit 4.,"25-6 <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />//^1� Plan Review p G� <br />Applicant �eCe�� • . Q\Sc. ) t 7 6� rl'ANIC i� ��evr/ �C18-S%�/ <br />(Name) (Address) // nn (Phone) <br />Owner c)CCP k o CIJ t761 /41 knent, aseoia j11n, SS //s tlaY- %/7 <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />rd 5 39 <br />Lo-k au<ri ��� / B(Ock �� Nics- L He,Jh <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />tile <br />ey, \N Loy, <br />cur ( ear 0 <br />er° er -fa <br />In signing this application, I hereby acknowledge that 1 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 state ents received,from the City pertaining to additional applica- <br />tion expense. <br />flJ 1 1) 9 -,3 9- 9� <br />re;;;;......_ _< . • nt) (Date) <br />WHITE — Office CANARY— Customer PINK —File GC Page 36 m <br />