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t <br /> i <br /> 3301 Silver Lake Road •St.Anthony,MN 55418 • (p)612.782.3301 • (f)612.782.3302 <br /> www.ci.s aint-antho ny.mn.u s <br /> CONDITIONAL USE PERMIT APPLICATION <br /> A. GENERAL DATA , <br /> NAME OF APPLICANT: u m 6 TO Yti I',-z✓ ' <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 � ' 0 for the <br /> purpose of securing a Conditional Use Permit. <br /> CONTACT PERSON: L�S T k?"e V— A LJ Ci <br /> Last Name Fust Daytime Phone Number <br /> (l <br /> PROPERTY ADDRESS: c7` 'f"P-1'1+a g p " r S 1 o,-op) <br /> J5 � 1 <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: <br /> 3. Written justification for the request,includin discussion of how any potential conflicts with existing nearby <br /> land uses will be minimized: --!-= �e G-'►-tU C Q v"4-1 i J 5 <br /> 4. Check all additional supporting documents and data which are being submitted to help explain this project <br /> propo <br /> site plan <br /> topographic map <br /> detailed narrative <br /> p( operation plans <br /> ❑ engineering plans <br /> P( ❑ landscaping plans <br /> P/A elevations <br /> I hereby certify with my signs a that all data on my application forms�ans and specifications are true and correct to <br /> the best of my knowledge: n u 4:—/� , , y0 v <br /> Signature of Applicant 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 Information.doc <br />