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w 3301 Silver Lake Road 5t. Anthony Village, Minnesota 55418 Office: (612) 782-3301 Fax: (612) 782-3302 www. ci. saint -a nthony. m n, us -For Office Use Only Planning File Number Project Number Application Submittal Date Application Completed Date �._. Fee Paid Receipt Number Planning Commission Meeting Date Council Decision Council Decision Date Address of Property Involved: Property ID Number: I 71. 3o Z . 3 L _ Legal Description: Lf- 0 t 21 k_ ) i 4 S� # F , T f� i l v rim. t Applicant Name: / A."r-,I) I LIXV " I-- Applicant Address: -7-Z-25-- _ , r t"v I --r3 C� K 1:11v1 Applicant Telephone Number; Other: Applicant Fax Number Applicant Email Address: 1," ; �� I -r J La Property Information WE Property Owner (if different from above): S + ti ,L4+.t.,,�.,-- _L /,,. C _ Owner Address:.__--- l c Y Pis r' �r r` '� �+ ,AEC Z t Owner Telephone Number: - t� Z C1CtJ Owner Email Address: Type of Request (Check All that Apply) -) Appeal ($100 fee) Comprehensive Plan Amendment ($750 fee + $1,500 escrow if residential; $3,500 escrow if commercial/industrial) Conditional Use Permit (CUP) ($200 fee+ $450 escrow if residential; $850 escrow if commercial/industrial) 1 Easement Vacation ($200 fee + $SOO escrow) Minor Subdivision/Lot Split ($250 fee + $1,250 escrow) L7 Planned Unit Development (PUD) ($750 fee + $2,500 escrow) El Rezoning ($500 fee + $750 escrow) --' Zoning Text Amendment ($500 fee + $750 escrow) Ll Site Plan ($250 fee + $450 escrow) I Preliminary Plat ($500 fee + $500 escrow) E Variance ($200 fee + $450 escrow if residential; 1 Final Plat ($500 fee + $500 escrow) $850 escrow if commercial/industrial) Our Mission is to he a progressive and livable communi#p, a walkable village, which is sugainablc, safe and secure.