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3301 Silver Lake Road •St. Anthony,MN 55418 • (p)612.782.3301 • (f)612.782.3302 <br /> www.ci.saint-anthony.nin.us <br /> SUBDIVISION/PLAT APPROVAL APPLICATION <br /> Application is hereby made for a SUBDIVISION/PLAT APPROVAL for a lot split/lot combination. The resultant size <br /> of the existing lot X ;lot area: sf <br /> Size of new lot created: X ;new lot area: sf <br /> ADDRESS = Y " S�iA <br /> r <br /> 3( 0 �PID(s): <br /> PRESENT LEGAL DESCRIPTION: L,-5-t- el <br /> PROPOSED LEGAL DESCRIPTION: <br /> OWNER: 'dl ` Zq 4 <br /> CONTACT NAME(print: J Y < PHONE: b2'7 '3 <br /> ADDRESS: qa- ev' ,tfY' FAX: <br /> CITY/ZIP: An1 t{2J EMAIL,: 'Q1 r1aII S !�•��'��- <br /> APPLICANT: <br /> CONTACT NAME: G co PHONE: 3 0 77`' <br /> ADDRESS: ✓ 1('- FAX: <br /> cuygIP: PJ ,cj E <br /> T: <br /> ---&4 An� - :2 7 2F ^q& <br /> APPLItANT'S Signatuse Date OWNER'S Signature Date <br /> - <br /> P n INE CO MISS O�L�AC�IaI• �« °� ` ° �'�' �- <br /> .PP-'ea`tio eaeived•� �:` � ,,��*° <br /> ❑� r p .R`'�' a'u .,i ;` `[f'' y, �s, Za�.$'.�,. +� <br /> aid <br /> C i [O <br /> ®� p ,ue .�� `� ��"�'� `�� �n D to of ul c iear�g• _ � � �.rk <br /> Continued on the backside of this sheet. <br /> H:\PlanningTorms\SubdivisionPlat Approval Applicantion 2005.doc <br />