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Applicant <br />Owner <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />°P-77a, (-ors <br />(Name) <br />PAID <br />N° 68s <br />Rec No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />/9�� Told ter (ate 97-37.. <br />(Address) €4,2tdtvc. .Q17 (Phone) <br />6S/ /oZ. <br />(Name) <br />(Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />asp <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Guy e ,,.!-,p . zicc <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 />Cirrt <br />(Signature of Applicant) (Date) <br />WHITE— Office CANARY— Customer PINK —File GOLD— Planner Page 88 <br />