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65 �ain ntho-,ny Cella f l� 3301 Silver Lake Road St. Anthony Village, Minnesota 55418 Office: (612) 782-3301 Fax: (612) 782-3302 www.ci.saint-anthony.mn.us Address of Property Involved: 3055 Old H Property iD Number: 06-029-23-41-0140 Legal Description: See attached Ex. A Applicant Information Applicant Name: Abu-Huraira Islamic Center Applicant Address: 3055 Old Highway 8 Applicant Telephone Number: (612) 876-2839 Applicant Fax Number NA P Applicant Email Address: abuusaalix95@gmail.com Property Information Property Owner (if different from above): Owner Address: Owner Telephone Number: Owner Email Address: Type of Request (Check All that Apply) Appeal ($100 fee) Comprehensive 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) -For Office Use Only - Planning File Number Project Number Application Submittal Date 12/18/2014 Application Completed Date Fee Paid Receipt Number Planning Commission Meeting Date 1/26/2015 Council Decision Council Decision Date Other: Minor Subdivision/Lot Split ($250 fee + $1,250 escrow) X Planned Unit Development (PUD) ($750 fee + $2,500 escrow) G4 ` &ti) . Rezoning ($500 fee + $750 escrow) ._ Zoning Text Amendment ($500 fee + $750 escrow) it Site Plan ($250 fee + $450 escrow) Preliminary Plat ($500 fee + $500 escrow) Variance ($200 fee + $450 escrow if residential; .. Final Plat ($500 fee + $500 escrow) $850 escrow if commercial/industrial) Ury aln,iun is ru be a prr�,grrx,irr wed lirahlr crnunnuri(11 it �, alkahk rilluge, whit h i, %mtai iable, ut/r mid ,rove.