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/4 <br />AppUcation # <br />Date Received •7~'2 j2-03 <br />Amouot Paid -i <br />CITY OF OROiNO - GENERAL LAND USE APPLICATION <br />PROPERTY LOCATION <br />Site Address Z-KCj^ AJ» <br />Type of Application to be Filed <br />Property Identification Number (P.I.D.) ^ j <br />APPLICANT Phone (home)aS2^jOirlfe^ <br />Name,_________ Phone (woric)^ST. Z-ID <br />Address,.?.r<psr. ^^-SArrttr 7>giv^, City Zip <br />OWNER (if different than applicant) <br />Name_______ <br />Address City <br />Phone (borne). <br />. Phone (work). <br />Zip. <br />Date Property Acquired <br />I (do) (do not) also own the adjacent parcels of land (month/year) <br />FEES - CONDITIONAL USE PERMITS - <br />2S 75.00 For each variance request v.iih CUP application <br />$250.00 Residential Accessory Use <br />$250.00 Institutional (church, school, etc.) <br />$250.00 Guest House/Guest Apartments <br />___$250.00 Duple.x Credit/Bldg <br />___$325.00 Commercial/Industrial Use <br />___$250.00 L«nd Alteration <br />____ Grading and filling - designated wetland or floodplain <br />____ Grading and filling - 50i cu. yd. or more <br />Grading, seawall, retaining walls within 75 ’ of lakeshore <br />rM <br />PRD/PID - see Fee Schedule <br />$150.00 Renewal Fee (no char.ge from original application) <br />After-the-Faci Fee - Double Ciment Application Fee <br />3^- 00 <br />OTHER APPLICATIONS <br />_____$275.00 Commercial Site Plan Review (+ consultant fees) <br />_____$300.00 Vacation <br />_____$250.00 Easement Vacation <br />_____$100.00 Easement Vacation With Subdivision <br />_____$350.00 Rezoning (PUD - refer to fee schedule) <br />_____$375.00 Comprehensive Plan Amendment <br />____ $100.00 Appeals <br />_____Other - see Fee Schedule <br />I. <br />r <br /># 9 Q; 9 <br />/ / V-' r 1