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P <br /> r <br /> t <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 /> CONDITIONAL USE PERMIT APPLICATION <br /> A. GENERAL DATA <br /> NAME OF APPLICANT: D rol--\ AA.1& Ti'vp o4o TO-1l-,b,;Lb v" t,' <br /> The above-named individual,firm or corporation hereby respectfully sub is the following data in support of the <br /> preliminary information provided on the accompanying zoning application summary from dated t 'Of0for the <br /> purpose of securing a Conditional Use <br /> /Permit. <br /> CONTACT PERSON: <br /> Last NameFust Daytime Phone Number <br /> ((�� <br /> PROPERTY ADDRESS: _ A 1'-el a q d to 'Dr, 3—k 0+10 <br /> B. PROJECT INFORMATION <br /> 1. Specify the section of the ordinance which applies to this project <br /> 2. Brief narrative description of this request: TD carp_ E.r\ y 10 -- t 2 In p� -��,N�•�� <br /> 3. Written justification for the request,includin discussion of how any potential conflicts with existing nearby <br /> land uses will be minimized: '! (+a,,•� :'fes e C 'V%(A t, 0 y4-1 t -f.S <br /> 4. Check all additional supporting documents and data which are being submitted to help explain this project <br /> proposal: <br /> 51relacrt, _ �c1i j �L�} • <br /> ❑ topographic map UU <br /> !Tation plans <br /> ❑ engineering plans <br /> ❑landscaping plans <br /> ❑ elevations <br /> I hereby certify with my signatAe that all data on m a plication forms�ans d s ecifications are true and correct to <br /> the best of my knowledge: / s -�H I U <br /> Signature of Applicant I Date <br /> In accordance with 1665.04 of Chapter 16,Zoning and Land Use,the City of St.Anthony hereby ❑ approves, <br /> ❑ denies the foregoing application for a Conditional Use Permit. If approved,said approval is subject to the following <br /> general and special provisions: <br /> (continued on the next page) <br /> F:\Planning\Forms\2005 CUP Application Informationdoc <br /> 04 -07-0G ; <br />