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SAINT ANTHONY VILLAGE <br /> PLANNED UNIT DEVELOPMENT APPLICATION <br /> (or Amendment to PUD) <br /> Page 1 of 2 <br /> APPLICATION NO. DATE RECEIVED jv1 I D <br /> APPLICANT _M� . JArMe6v W ATL PHONE 10 3.595•X51 FAX 743-545.9512 <br /> E-MAIL wlwatvrS @ ��CS�d�eve d fvncAt.room <br /> PAGER CELL# <br /> j l <br /> ADDRESS 10100 C. UXj" V ROAp IS <br /> CITY F14KOUTO STATE MN ZIP SS44 <br /> FEE OWNER AND CONSENT OF APPLICATION M r— UK66 VjAj x-5 , <br /> L. Cv. AN OEYt500 1 L L G <br /> ADDRESS _ 1.4IM1 ft 6 PHONE FAX <br /> CITY STATE ZIP <br /> LOCATION OF PROPERTY INVOLVED IN PUD REQUEST (Address/Pin Number/Legal Description) <br /> . D. 31 . 30 . 23 . 3 z . 00 lLt <br /> L'° l Lo R "MSG.-( Gov <br /> • 00 S I W <br /> PRESENT ZONING LAND ACRES INVOLVED 2 -7 <br /> PRESENT-LAND-USE-GUIDE-PLAN DESIGNATION Gok—Iq ,C4.4U <br /> PROPOSED LAND USE DESIGNATION OF PROPERTY <br /> PROPOSED USE OF PROPERTY pi REStC6�1171A1. <br /> MrxE� Deis f SAt.E coNnnwtl�NrUwtS <br /> FCK 10 NP1k#t^TNr << L Of lcE <br /> RIM- <br /> �x 4- <br /> ITEMS TO ACCOMPANY APPLICATION: <br /> See attached PUD Application Checklist _ <br /> APPLICATION FEES: <br /> A. $500.00 $ <br /> B. City Consultant fees initial deposit: $1W0.00 $ <br /> TOTAL AMOUNT RECEIVED $ /1 500_ <br /> CITY RECEIPT NUMBER �'aZ�7 11 - 19-04 * 1 5 0 0 . 0 H <br />