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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 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: -f)] 0 1 '5V 1 til fwd Property ID Number: 1.30.3.33. DD 14 1 �O .23 33 0013 Legal Description: Sem 0.C�lECi Applicant Information Applicant Name: SS pSN• {{C1MnOY1q , LLC, Applicant Address: P•O. BOX 49rJlq , �t`eCrl' Applicant Telephone Number: L 33 (o 8 i a - 3 314 Other: a3eo) 812:- 3313 Applicant Fax Number. _ r Applicant Email Address: --Aerie �& ckeepriver. co,y-) I �n�p d��P�,yer. eor►-i Property Information Property Owner (if different from above): "ScLC'VX, CCS CLbo" i 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) ❑ Minor Subdivision/Lot Split ($250 fee + $1,250 escrow) ❑ Planned Unit Development (PUD) ($750 fee + $2,500 escrow) X Conditional Use Permit (CUP) ($200 fee+ $450 escrow if ❑ Rezoning ($500 fee + $750 escrow) residential; $850 escrow if commercial/industrial) ❑ Zoning Text Amendment ($500 fee + $750 escrow) ❑ Easement Vacation ($200 fee + $500 escrow) ❑ 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) Our Mission is to be a progressive and livable community, a walkable village, which is sustainable, safe and secure.