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Application # <br />CITY OF <br />Date Received J>/2 2./«y-y <br />Amount Paid trP /t <br />SE '«¥LICATION <br />PROPERTY LOCATION <br />Site Address A» =’•+<« /Ifm <br />Type of Application to be Filed :JT ---- i SProperty Identification Number (P.I.D.) <br />APPLICANT <br />s <br />Name /Vi ^VtU^C-h; <br />Phone (homd Y7i-‘J(.8r fc <br />tS" <br />Address 3 Y« Ov*-*-City <br />Phone (workSJ *7 c - c (7 0 <br />on..\c _____^ Zip <br />OWNER (if different than applicant) <br />Name----------------- <br />Phone (home). <br />Phone (work)_ <br />Address City Zip. <br />Date ProperP/AcquiredrP^Ac <br />not^ <br />(month/year) <br />I (do) (4^notj^lso own the adjacent parcels of land, <br />FEES - CONDITIONAL USE PERMITS - <br />_____$ 75.00 For each variance request with CUP application <br />y~ $175.00 Residential Accessory Use <br />____$250.00 Institutional (church, school, etc.) <br />____$225.00 Guest House/Guest Apartments <br />____$200.00 Duplex Credit/Bldg <br />____$300.00 Commercial/Industrial Use <br />____$250.00 Land Alteration <br />____ Grading and filling - designated wetland or floodplain <br />____ Grading and filling - 101 cu. yd. or more <br />____ Grading, seawall, retaining walls within 75' of lakeshore <br />PRD/PID - see Fee Schedule <br />$150.00 Renewal Fee (no change from original application) <br />After-the-Fact Fee - Double Current Application Fee <br />OTHER APPLICATIONS <br />_____$250.00 Commercial Site Plan Review (+ consultant fees) <br />_____$300.00 Vacation <br />_____$200.00 Easement Vacation <br />_____$100.00 Easement Vacation With Subdivision <br />_____$350.00 Rezoning (PUD - refer to fee schedule) <br />_____$350.00 Comprehensive Plan Amendment <br />_ $100.00 Appeals <br />Other - see Fee Schedule <br />PRESENT USE OF PROPERTY <br />Present Zoning District_______ <br />Present Use of Property Residential Other (specify).