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oin nitho 11 t <br />3301 Silver Lake Road -St. Anthony, MN 53478 ' (p) 6]3789 3301 • (f) 612.782.3302 <br />www.ci.sainb anthony.nm.us <br />CONDITIONAL USE PERMIT APPLICATION <br />$130 Conditional Use Permit Fee <br />A. GENE RAI., DATA A,/ 1 . . <br />NAME OP APPLICANP Qi«il <br />� <br />LL <br />The above -n caned individual, firm or corporation hereby icspectfully subnuts the following; data in support of the <br />pochnunary information provided on the accongpanying zoning application su.nunary from dated for the <br />purpose of securing a Cooditionai Use Permit. <br />CONTACPPERSON: <br />Namc <br />PI20PI?RTY ADDRESS: <br />Daytime Phone Number <br />B. PRO)1:CT 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 Ic.late 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 deh imental 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 />r <br />73 <br />d.) I'he 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 all potential conflicts with existing nearby ]and <br />uses will be minimized: QP.' Q -TT A_1i1-}Z7ry /x- / 71 ^ <br />3. Check all additional supporting documents and data which are being submitted to help explain this project <br />proposal: <br />e site plan <br />❑ topographic map <br />W"cfetailed narrative <br />e ­operation plans <br />I hereby certify with my sign x h a <br />the best of my knowledge: M& <br />Signature of Applicant <br />❑ engineering plans <br />❑ landscaping plans <br />❑ elevations <br />plans and specifications <br />Date <br />I' APIanning\Forms\2005 CUP Application Iuformation.doc <br />