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Little Canada, Minnesota <br />-- APPLICATION FORM <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 />®wnz+r~ Fr~~ 5eda haf ~ ~~+ <br />Applicant g ~~- ~~I ~~2_ <br />(Name) U, ~~~ - ~~L <br />(Address) M~ ~~ (Phone) <br />~-,~,tsine~s , <br />----~~ ~', 3i61-3 (~`~ vuce Carl-~~-gs <br />(Name) (Address) (.,i (~,,;-~~ MN (Phone) <br />Property Location (Street Address and Legal Description): ~S 11~ <br />~~ ~' ~rle uti1 (~ S"'1- zl4- Cb S <br />~~5 GL1Cd v~2`(~U'w~~ L~ I(92, ~C~~tr~-~~ 1~`l~ SS(ZS <br />Description and/or Reason for Request (Cite Ordinance Sections): <br /> <br />Z <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 f rther acknowledge the fee explanation as outlines <br />in application procedures and hereby agree to pay all statements rec iv d from the City pertaining to additional applica <br />tiol, expense. <br />~;~ ~~Y/J ~ (Signature of A Ii a t~~)~ry/~ ~ ,(~ <br />WHITE-Office CANARY-Customer aINK-File GOLD-Planner ~`~i ~~~%` Yv" \ (Date) <br />