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<br />Little Canada, Minnesota PAID ~s <br />APPLICATION FORM Rec. No. <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment <br />_~___ Variance <br />Text Amendment <br />Other <br />Applicant 'R:_~~ Yom,-n~1 lt'„>.. i (~~ 1'C~1'~`~ <br />(Name) <br />Owner - ~L-E-~v~ <br />(Name) <br />Property Location (Street Address and Legal Descriptionl: <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />(Address) <br />_. ~~a-7~U7 {-I <br />(Phone) t/ <br />{Phone) <br />Description and/or Reason for Request (Cite Ordinance Sections): <br />In signing this applicatioh, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ngand Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />n ~ application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />:io~..xpense. <br />1"Go,~~ (r/L~ ~'r~~'~"J <br />VHITE-Office OANARY-Customer PINK-File coo-P~Signature of Applicant) (Date) <br />~o <br />