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J <br /> 3301 Silver Lake Road •St.Anthony,MN 55418 (p) 612.782.3301 (f)612.782.3302 <br /> www.ci.saint-anthony.n-Ln.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 OF O Y: 'df�i of <br /> PID(s): - ` <br /> PRESENT LEGAL DESCRIPTION: L-&t <br /> PROPOSED LEGAL DESCRIPTION: <br /> CONTACT NAME&-rin' : �� <br /> (PPHONE: <br /> ADDRESS: U I e to V, FAX: <br /> CITY/ZIP: b V EMAIL: <br /> APPLICANT: Vw <br /> CONTACT NAME: V,,,)[ -14,Wo2 PHONE: <br /> ADDRESS: Y FAX: <br /> CITY/ZIP: EMAIL: (�� /rIS�2 �CO•� <br /> APP ICANT'S i re Date O NER'S Signature Date <br /> ADMINIS ATIVE< . g A. 1ASURVEY- •iceLT e®nl, <br /> P COM SS ON 'GI'r10' � "' � '�' `�` ` �`• <br /> C] rtive •� .> -; - ppli-a o•`'reae'Peel: A �.� ,,�_ <br /> ME •ire ea ag: <br /> �o rr CRI,^ D o �a�b •g � _ <br /> ®'t proveclu�� ���' •�'���., �a e •r u, h,. earr g:�`� ' .�, 3y <br /> es`ol ti• N,- hers � �� <br /> - V e <br /> Continued on the backside of this sheet. <br /> H:\Planning\Forms\SubdivisionPlat Approval Applicantion 2005.doc <br />