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n <br /> S <br /> 3301 Silver Lake Road •St.Anthony,MN 55418 • (p)612.782.3301 • (f)612.782.3302 <br /> www.ci.saint-anthony.mn.us <br /> ZONING APPLICATIION <br /> APPLICANT'S NAME: rte,.PfN r-4 ij( / <br /> (Last) (First) <br /> OWNER(If other than applicant): <br /> MAILING ADDRESS(Street,City//,State,Zip): It 7vr 1 %/1� L-4—,V6 /L%hF /1�f1®y 6VVV'z <br /> DAYTIME PHONE NUMBER:tP X775, �� PROPERTY ADDRESS: S-IL-V �-- �/� �,�,0 9 <br /> LEGAL ADDRESS: <br /> APPLICABLE CURRENT ZONING DISTRICT(S) TYPE OF ZONING REQUEST <br /> ❑ R-1 ❑ R-1A ❑ R-2 ❑ concept review <br /> ❑ R-3 ❑ R4 ❑ R4 ❑ conditional use permit ($130) <br /> C ❑ I ❑ R/O x variance (R-$60;Other-$100) <br /> ❑ PUD ❑ rezoning ($225) <br /> ❑ subdivision ($50) <br /> ❑ preliminary plat ($150) <br /> ❑ other <br /> I hereby certify with my signature that all data on my application forms,plans and specifications are true and correct to <br /> the best of my knowledge. <br /> Z/z4A,& <br /> Signa of pplicant Date' <br /> Signature of Applicant Date <br /> � �s 'S �T�NE � 'S�,g°� —®ff•ce ase Only _, � � <br /> ® � �p�rgve • '' p�licatto 'v d: `�,'�y <br /> F see. <br /> r, �nie -Fee 'd: ..�;:r�;�`�1 ,• _� ._ ., , �. ._ <br /> � e,erred , C�i � ngm en•. �_�'' � � '�� <br /> of n <br /> .6 <br /> ® o e>x ",, �°ate•o Co ce, Re,fie' ' 7s .� .� �'` 7� <br /> e_° '` �ate" u .c "eariia ,t`i®e: >�`��� " Wiz•_. <br /> �ate. � "� `• �ate'vf�� bli 'e s� l° ��� <br /> .f <br /> C:\Documents and Settings\BThompson\Local Settings\Temporary Internet Files\OLK2\Zoning Application 2005.doc <br />