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SAINT ANTHONY VILLAGE <br />PLANNED UNIT DEVELOPMENT APPLICATION <br />(or Amendment to PUD) <br />Page 1 of 2 <br />APPLICATION NO. <br />DATE RECEIVED <br />APPLICANT LL..C. PHONE`Nz)) (7!0 FAX <br />E-MAIL Cin_�cenel C0�1 _ PAGER N&— CELL# NIa <br />ADDRESS <br />d✓ bkvd- <br />CITY 1AIm f i3 )o 11 S -- STATE ZIP 'i 4 Lto <br />FEE OWNER AND CONSENT OF APPLICATION PIQ U��k,)000S -U <br />ADDRESS qS2 FAX <br />CITY �I ili1QL}�p _- STATE M N ZIP S's tp <br />LOCATION 2�F23 PROPERTY <br />2INVOLVED IN PUD REQUEST (Address/Pin um ber(,<gal Nc' cri, <br />PRESENT ZONING U (� _ LAND ACRES INVOLVED <br />PRESENT LAND USE GUIDE PLAN DESIGNATION <br />PROPOSED LAND USE DESIGNATION OF PROPERTY Mvl k( yll �t Q �S j �/IAC <br />PROPOSED USE OF PROPERTY ASC t.Cir �I h vu) o An% a -f 0 JA -1-f 7 r M cl <br />ITEMS TO ACCOMPANY APPLICATION: <br />See attached PUD Application Checklist <br />APPLICATION FEES: <br />A. $500.00 $ WA /a v! <br />B. City Consultant fees initial deposit: $100.00 ` <br />TOTAL AMOUNT RECEIVED <br />CITY RECEIPT NUMBER <br />15 <br />