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Attachment B Lain the ong ) la 3301 Silver Lake Road St. Anthony Village, Minnesota 55418 office: (612)782 -3301 Fax: (612) 782-3302 www.ci.saint-anthony.mn.us Address of Property Involved: 5 L U -1 1 Property ID Number: y Co — O aL q -T - Legal Description: y c Nb" ov) "a Applicant Information UI ��Y } Applicant Name: "� -7- A licant Address: 3 O ()� 1 -For office Use Only - Planning File Number ) 5 Project Number Application Submittal Date Application Completed Date Fee Paid Receipt Number Planning Commission Meeting Date Council Decision Council Decision Date LN \L 7 � UGC A q j PP U Other: Applicant Telephone Number: Applicant Fax Number Applicant Email Address: Y t C l ` COs AC aS YS- Property Information Property Owner (if different from Owner Address: Owner Telephone Number: 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) F] Easement Vacation ($200 fee + $500 escrow) MPreliminary Plat ($500 fee + $500 escrow) 0 Final Plat ($500 fee + $500 escrow) (�Sq)8- eoP hl Ole 1nJ �'44)0 r� 5SLI1� -3S`(- -7e76 ❑Minor Subdivision /Lot Split ($250 fee + $1,250 escrow) Planned Unit Development (PUD) ($750 fee + $2,500 escrow) Rezoning ($S00 fee + $750 escrow) ❑Zoning Text Amendment ($500 fee + $750 escrow) ��❑---7777rrrrSite Plan ($250 fee + $450 escrow) oVaril ance ($200 fee + $450 escrow if residential; $850 escrow if commercial /industrial) Unr Alissiva is ru be it progressive and linable comnuanity. a walkable village, which is sustainable, safe and secure.