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• • <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />Applicant (a::1- £YQ <br />((game) <br />Owner <br />/10/1871- C 0 <br />(Name) <br />N9 <br />PAIDISSOO.06 <br />Rec No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />(9 j ISitiML,A,4 AO <br />(Address) <br />ssea a, 26: 446, Mfrweni <br />(Address) <br />Property Location (Street Address and Legal Description): <br />Z 26, AL/ <br />/,E�r�rry S-- <br />Gd -les -o'?cc7 <br />(Phone) <br />(Phone) <br />3E-C -1 aal Ps ICcco/rlh (,Q 2c/ <br />�IOR7(7 L, €E <br />N.( • OF -z 2 <br />c-c +4c t1. CO. 'lam (,,awklc C4 #E (Yid <br />ecc17 fo <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />PRopc.u\IL( rs zcNE� <br />Crtrinlegc C l' UAfekte OJJ4 sec 4 A/ e <br />a -- . �E.6 rd/f/Jcl1 Leitfre. , <br />In signing this application, I hereby acknowledge that I have read and fully derstand the applicable provisions of the Zon- <br />ing and Subdivision Ordinances and current administrative7oceJures. I f rther cknowledge the fee explanation as outlined <br />in the application procedures and hereby agree to pay all /statfnents received fr m the City pertaining to additional applica- <br />tion expense. / <br />WHITE— Office CANARY — Customer <br />PINK —File COLE <br />(Sign • u e of An°nlira+* <br />Page 70 <br />(Date) <br />