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<br />Little Canada, Minnesota <br />--- -- APPLICATION FORM <br />Comprehensive Plan Amendment <br />y/ Zoning District Amendment <br />--1~ Text Amendment <br />Other <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />Applicant t-Y~GI' :JC'd0. ~'1CLt ~Q~-_ )~?)(fi{' .~ ~ ~~~ (p(2-~~ <br />(Name) (Address) <br />M~ ,SS (Phone) <br />•l~s~~s , <br />e ~~, ~!, ~ C. 3161-3 (~'~ Yuce <br />(Name) ~ I "' ~~ <br />(Address) ~. (~, y~~,-~~~~ M(~ (Phone) <br />Property Location (Street Address and Legal Description): ~S I I~ <br />SSI(~' <br />" ~7 d L5 <br />6-~SZZ. <br />`i')~~ ~ ~ rig ian, <br />~-i~s ~c~ ~`'Qv~,~~, ~ <br />Description and/or Reason for Request (Cite Ordinance Sections): <br />;~,t~. I~ z, f~i~~~~~ ~1~ ss1z 5 <br /> <br />In signing this application, 1 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 fya~*_ther acknowledge the fee explanation as outlines <br />in t' fpplication procedures and hereby agree to pay all statements rec iv d from the City pertaining to additional applica <br />tiol ,pense. <br />~~~-'~' ~ -c ~ L G:~ L ~ ~~ Z,..~.~ iii ~ ~, <br />yiZ ~l f ) ~' (Signature of A li a t <br />WHITE-Office CANARY-Customer PINK-Pile GC LC-Manner ~~~ r ) (Date) <br />