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• <br /> 3301 Silver Lake Road •St. Anthony,MN 55418 • (p)612.782.3301 • (f)612.782.3302 <br /> www.ci.saint-anthony.nin.us <br /> Date: <br /> Fee: $150.00 <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 rt <t 7L' •�'�ur1' <br /> Size of new lot created: X ;new lot area: sf <br /> ADDRESS OF PROPERTY: 010 /V/� 'q ul F s7�i f9►��F�y �,� �� <br /> PID(s): (7G-Cal- ?3-1//- <br /> PRESENT <br /> 3-y/-PRESENT LEGAL DESCRIPTION: SAF <br /> PROPOSED LEGAL DESCRIPTION: i �� � ice' hz 11QtCYY1L�i1Ce/K <br /> OWNER: Jf AWL' 6,611".'x' <br /> CONTACT NAME(print): �P�{�e,i .1. Ctir� PHONE: if /.2- 373- e"f"' <br /> ADDRESS: -(/5- JnJ lic, I, FAX: G 1,2 - 33 9 - 2-3-3c' <br /> CITY/ZIP: /LJi�„o1� MW �Syc^Z EMAIL: ffrP�/fti' ��1l�cv�� � <br /> APPLICANT: <br /> CONTACT NAME. 1i PHONE: <br /> ADDRESS: /� 2 N ��'. �S, FAX: <br /> CITY/ZIP: /ii/J_ eTn/�s, /��/SS''/�`z EMAIL: <br /> APF1 <br /> LICANT'S Signature Date OW R'S Signature Date <br /> ADMINISTATIVE DATA SURVEY-Office Use Only <br /> PLANNING COMMISSION ACTION <br /> ❑ Approved Application received: <br /> ❑ Denied Fee paid: <br /> Date: Date of Concept Hearing: <br /> COUNCIL ACTION Date of Public Hearing Notice: <br /> ❑ Approved Date of Public Hearing: <br /> ❑ Denied Resolution Number: <br /> Da te: <br /> F:\Planning\Forms\SubdivisionPlat Approval Applicantion 2005.doc <br /> X2'23—pB <br />