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1:1 nthon� C�r'illa cC =�7 3301 Silver Lake Road St. Anthony Village, Minnesota 55418 Office: (612) 782-3301 Fax: (612) 782-3302 www.ci.saint-anthony.mn.us -For Office Use Only - Planning File Number V , b�5 Project Number Application Submittal Date Application Completed Date Fee Paid Receipt Number Planning Commission Meeting Date Council Decision Council Decision Date Address of Property Involved: J %) 7 -54"05011 0ll/d Property ID Number: 67 - 0a4 _,2 3 a a 000 Legal Description: Pnt O -t ottC -T- /OI Applicant Information /�L / n Applicant Name: Ckd rch1 an 5- L ./f�/7�S / &W,01W // Applicant Address: a7N 1571/nSpA �&yd �. ),I/` 0,4V Applicant Telephone Number:Other: Applicant Fax Number 61d- 7b 7 - /170 Applicant Email Address: /n11121W _ Property Information Property Owner (if different from above): Owner Address: Owner Telephone Number: Owner Email Address: Type of Repuest (Check All that Apply) 7 Appeal ($100 fee) ElComprehensive Plan Amendment ($750 fee + $1,500 escrow if residential; $3,500 escrow if commercial/industrial) Conditional Use Permit (CUP) ($200 fee+ $450 escrow if residential; $850 escrow if commercial/industrial) ❑ Easement Vacation ($200 fee + $500 escrow) FjPreliminary Plat ($500 fee + $500 escrow) Final Plat ($500 fee + $500 escrow) Minor Subdivision/Lot Split ($250 fee + $1,250 escrow) Planned Unit Development (PUD) ($750 fee + $2,500 escrow) Rezoning ($500 fee + $750 escrow) Zoning Text Amendment ($500 fee + $750 escrow) Site Plan ($250 fee + $450 escrow) Variance ($200 fee + $450 escrow if residential; $850 escrow if commercial/industrial) Our .Wildon A ro be a pri gretsnv crud Ifrable comOEHmr, a n'rdAahle rillage, ivhich AYrA'lainable %aJe mrd.serure. 25