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■w-i.VSi';. <br />ig/7 <br />‘TWBBP; . V j <br />•“ <br />cmr OF ORONO - general land use APPUCATtON <br />Application# <br />Data Ractivad <br />Amount Paid <br />PROPEWVLOGA^OH^^^ ^ <br />SttaAddmamat\3\\o t><L- <br />Type of J^ppficatioirib be FHed <br />Property ldrfWftl«#ttoh Number (P.I.D.l / 7 - / / 7 -J? ^.0. <br />>oor <br />APPLICANX. <br />Nun* S^iPitAmGA—■ f <br />Phon« (hO(1M)iJ!iJti‘fla_ <br />AddWM 'la £jL^>iPf& , <br />Phon«(work) J -sKanna^i* <br />J»- CHvTavfc4-A»< Zip SS^jj <br />OWNER (if different than applicant) <br />Name_______________________ <br />Phone (iKxne) <br />Addfeaa <br />Data Property Acquired <br />adjaoami <br />Phone (work) <br />,City______ <br />I (do) (do not) also own the adja6en\ parcalt of land. <br />FEES . CONDITIONAL USE PERMITS * <br />(roonth/yaar) <br />$600 00 Rasidenttal Accessory Use <br />$600.00 Institutional (church, school, etc.) <br />$600.00 Guest HousefOuest Apartments <br />$600.00 Duplex Credil/Bldg <br />^ $600.00 CommerdaVIndustriel Use <br />____$600.00 Lend Alteration Permit <br />_____Grading and fiilino • designated wetland or floodplain <br />_____Grading and fling - 501 cu. yd. or more <br />C^lng. seawall, retainino walls within 75* of lakashora <br />PRO/PIO - sea Fee Schedule <br />$250.00 Renewal Fee (no change from original application) <br />Aftar-the^act Fee - Double Current Application Fee <br />OTHER'LPLICATIONS <br />$600 00 Commercial Site Plan Review (•^consultants) <br />$600.00 Vacation <br />$600.00 Easement Vacation <br />$100 00 Easement Vecetion With Subdivision <br />$60000 Rezonlng (PUD-refer to foe schedule) <br />$600.00 Oimprehens ive Plan Amerntment <br />$100 00 Appeals <br />Other-see Fee SPhadule <br />\ <br />«?//U <br />REQUIRED SUBMITTALS <br />A Completed Application Form.1. <br />2. <br />3. <br />Describe request in detail. <br />Certified Property Owners List of owners within 350* of the subject property, <br />labels and plat map. List, labels and map may be obtained from Hennepin <br />County Department of Finance. Government Center. A-603 300 South e®' <br />Street. Minneapolis, telephone 612-348-5010). <br />5. <br />6. <br />Cartincate of Survey (signed by a licensed surveyor) - refer to handout for <br />survey information. <br />)( Attach legal description to application if not included on required survey. <br />7. <br />Ai|N Topographic survey (existing and proposed contours) if land alterations <br />involve changes in elevation (grades). ** VACAVD^» ‘* <br />A List of the legal names (include marital status) of all persdr«<i4th.an interest in <br />This would include name(s) of applicant(S)*1f not currentthe property <br />y owner(s). ' <br />A Construction plan, if applicable (see staff for requirements). <br />As an addendum to this application, please attach a separate list of any other <br />persons you wish rrotified of this application <br />YOU ARE REQUIRED TO SUPPLY 3 COPIES OF LARGE DOCUMENTS AND 1 COPY <br />FOR REPRODUCTION (ir X17** OR SMALLER) FOR ALL DOCUMENTS <br />SUBMITTED. (Staff will require scaled drawmgs ol all documents, plans, etc. to be <br />submitted.) <br />The Applicant and Property Owner must sign this application. Please remember that <br />your application Is not complete if the above information has not been included. <br />Certincatior. by Clerical Department that Land Use AppTication is complete. <br />Initials of Clerical Staff:___________________________Date_________ <br />APPUCANTS SIGNATURE <br />The applicant hereby agrees to provide all information required or requested by the <br />Zoning Administrator, agrees to pay additional fees (staff time not covered by original fee <br />payment) end/or unusual expenses ipcurred in review of this application, and certifies <br />that the information supplied^ j(M^rrect to the best of hisrt>ef j <br />AppRcanfs signature <br />OWNER S SIGNATURE \j <br />The owr>er hereby adtnoiMedges and agrees to this application and further authorized <br />reasonable entry onto the property by City staff, consultants, agents, commission <br />members, and CourKil/rtembers^ouurposes of investigation arxj verificaton of this <br />rsquMt. / <br />Owner's signature <br />Appkcam muti haveaOs <br />PtinninQ Convnisaion <br />^ Oaf V5~-- //g • <br />ils into Sw Ccy omces 25 days ticfort tht Planning Comruts^n Mgadog <br />•ft had on Bie tfwd Monday o( tecfi month Appicants must tit pmst rt <br />at al sohtdwtd rtvitw mattings of tot Ptonmng Commisston and Counoi if an appicant is unatiia to <br />alltnd ■ schtduitd matting, pitasa makt amngemants to hawt an autoonztd agtnt alltnd in your plact <br />■nd advisa tot ewtdmg 4 Zoning Oftict of this changt pnor to tot mttting.