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N9 699 <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment ____� Conditional Use Permit <br />PAID <br />Rec. No <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicanthth 1.--Cs.tba Twin Lk (6(v(_ & 3 c fl7((/ <br />(Name) (Address) (Phone) <br />Owner <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />fail Tui,n L o <br />Lot 1 + al I LiAb r ( T wt& <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />6c3O iS? fflDt &r—C` 9 044y-- <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 G <br />gnature of Apphcan <br />anner <br />age 1 <br />