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~ ~ "' < <br />Little Canada, Minnesota PAID` ~ ~ '~ C.J. <br />- APPLICATION -FORM Rec. No. <br />Comprehensive Plan Amendment '" Conditional Use Permit <br />Zoning District Amendment <br />Texi Amendment <br />Other <br />9.~:ne.~ ~' ~r~d°~e~a~~~~~ ~2.co <br />Applicant <br />(Name) - <br />~in <br />Property Location (Street Address and Legal Description): <br />?~i ~o~ <br />I\.~ SS l ~ ~- <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />~ ' .~ <br />(Address) M,(~j S51Z.~ (Phone) <br />uv v <br />~ ~ ~ i,Jc~d Qom. `'px-r~~e, <br />)escription and/or Reason for Request (Cite Ordinance Sections): <br /> <br />~i,Ll 1oS"1- ZI 4 - 0~.5~ <br />l~~Z, I,vo~d~u-i~ ~ i~N sSIZs~' <br />signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon <br />Ig and Subdivision Ordinances and current administrative procedures. further acknowledge the fee explanation as eutlinec <br />t' pplication procedures and hereby agree to pay all statements r ~ived from the City pertaining to additional applica <br />on ,,,,pense. <br />l ~~ 2~ ~ a (Signature of Ap lick t) <br />'!!?C---0ffic2 CANARY-Customer PINK-File (Date) <br />GO LD-Planner <br />1(/~/ a~•r~l <br />