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�ainntho�ny <br />01! le Ir <br />3301 Silver Lake Road <br />St. Anthony Village, Minnesota 55418 <br />Office: (612) 782-3301 <br />Fax: (612) 782-3302 <br />www.ci.saint-anthony.mn.us <br />-For Office Use Only - <br />Planning File Number <br />, b� <br />Project Number <br />Applicant Fax Number_ 60 -la <br />Application Submittal Date <br />r� i <br />Application Completed Date <br />Fee Paid <br />�a l )1� C to <br />Receipt Number <br />Planning Commission <br />Meeting Date <br />Council Decision <br />Council Decision Date <br />Address of Property Involved:D DID D 1 _5i,'050/1 Blvd <br />Property ID Number: _67 - 0,q_ a73 12 0001 <br />Legal Description: /L/41-Aay tkBAYS /Ydw tv doea4Ze//.S :NO Qdti <br />OP o r t2zc s74 lei <br />Applicant Information <br />Applicant Name: <br />Applicant Addres, <br />Applicant Telephone Number: b/d- <br />731 i0c)9 <br />Other: 61d- 7607- <br />11SI <br />Applicant Fax Number_ 60 -la <br />-2-1170 <br />Applicant Email Address: % <br />Property Information <br />Property Owner (if different from <br />Owner Address: <br />Owner Telephone Number: <br />Owner Email Address: <br />Tyoe of Request (Check All that Apply) <br />Appeal ($ 100 fee) <br />ElComprehensive Plan Amendment ($750 fee + $1,500 <br />escrow if residential; $3,500 escrow if <br />commercial/industrial) <br />ElConditional Use Permit (CUP) ($200 fee+ $450 escrow if <br />residential; $850 escrow if commercial/industrial) <br />Easement Vacation ($200 fee + $500 escrow) <br />Preliminary Plat ($500 fee + $500 escrow) <br />Final Plat ($500 fee + $500 escrow) <br />Minor Subdivision/Lot Split ($250 fee + $1,250 <br />escrow) <br />Planned Unit Development (PUD) ($750 fee + <br />$2,500 escrow) <br />Rezoning ($500 fee + $750 escrow) <br />zoning Text Amendment ($500 fee + $750 escrow) <br />❑Site Plan ($250 fee + $450 escrow) <br />Variance ($200 fee + $450 escrow if residential; <br />$850 escrow if commercial/industrial) <br />Our fliscion A ro be a prgyrr%kive and livable rommuni¢•. u iralhuhle village, which is wwaiuuhle. safe and serare. <br />