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i <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 /> SITE PLAN REVIEW APPLICATION <br /> Application is hereby made for a SITE PLAN REVIEW for the construction of a(n) / 1 <br /> SF building in a zoning district. <br /> ADDRESS F PPERT ® , �� �Q, - A .A f <br /> i - ,�. <br /> OWNER: <br /> CONTACT NAME rust): PHONE: <br /> ADDRESS: q4 [ c�C FAX: <br /> CITY/ZIP: A/ EMAIL: _f/2Sa �iSh CBS <br /> APPLICANT: r - (OD <br /> CONTACT NAME: t O PHONE: V�Z— 3T4q <br /> ADDRESS: G� tlw—r -er FAX: <br /> CITY/ZIP: EMAIL: <br /> APP ICANT'S Signature Date OWNER'S i re Date <br /> The following information is to be submitted in support of the application as described on the attached"Site Plan <br /> Review Requirements": <br /> ❑ 1. Completed application for Site Plan Review. <br /> ❑ 2. Fee. <br /> ❑ 3. Narrative describing project. <br /> ❑ 4. Copies of: <br /> ❑ a. Plat of or map of the property showing the proposed improvements <br /> ❑ b. Site plan <br /> ❑ c. Proof of ownership(if no signature) <br /> ❑ d. Map of existing conditions <br /> ❑ e. Landscape plan <br /> ❑ f. Grading/Drainage plans <br /> ❑ g. Other plans as listed in the Ordinance and as needed <br /> ❑ h. Building elevations of all sides <br /> ISM <br /> `l?'r� � ,•Iiaati,n , i�. <br /> � Deme t � �• •' <br /> D"ate. a ate bli I agI�Iti e ff y <br /> O NCI' A a�ODare, ae r <br /> Lal �approved �s , a tr. a $" � � -Resolution b uinbei� r- ;�fis <br /> IMP 1Derrtied - � al. x a <br /> ?.;11 „ <br /> a •ix v. "�* ' ''� ��: �'l i.,tri�^ h��a`;.* �4�' `�� 3 's.�^;e.R r`�S9:r. <br /> H:\Planning\Forms\Site Plan Review Applicantion 2005.doc � y * . <br />