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la <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 /> CONDITIONAL USE PERMIT APPLICATION <br /> $130 Conditional Use Permit Fee <br /> A. GENERAL DATA <br /> NAME OF APPLICANT: M.OLttr"I Q Vr— M 1015'TrZq MQ <br /> The above-named individual,firm or corporation hereby respectfully submits the following data in support of the <br /> preliminary information provided on the accompanying zoning application summary from dated for the <br /> purpose of securing a Conditional Use Permit. <br /> CONTACT PERSON: i N C 2 A N A CL A A � I Z -SCJ �9 91 <br /> Last N e; j First Daytime Phone Number <br /> PROPERTY ADDRESS: �r �lsfNa� Y L ,cJ�' ST. 0}tJT HpA'1 Y <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 and address each of the following items as they relate to your <br /> project: <br /> a.) The use is one of the conditional uses specifically listed for the zoning district in <br /> which the property is located; <br /> b.) The City Council specify conditions that it deems necessary to make the use compatible <br /> with other uses in the area; <br /> C.) The use will not be detrimental to the health,safety,or general welfare of the persons <br /> residing or working in the vicinity or to the values of property in the vicinity; <br /> d.) The use will provide a service or a facility which is in the interest of public convenience <br /> and will contribute to the general welfare. <br /> Written justification for the request,including discussion of how any potential conflicts with existing nearby land <br /> uses will be minimized: <br /> 3. Check all additional supporting documents and data which are being submitted to help explain this project <br /> proposal: <br /> ❑ site plan ❑ engineering plans <br /> ❑ topographic map O landscaping plans <br /> ❑ detailed narrative ❑ elevations <br /> ❑ operation plans <br /> I hereby certify with my signature tha5d a p 'cation forms,plans and specifications TO ue and correct to <br /> the best of my knowledge: i � <br /> Signature of � t <br /> F:\Planning\Forms\2005 CUP Application Information.doc <br /> 08417-- 11 * 1 � �®C <br />