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o <br />PROPERTY LOCATION <br />Site Address S *1 “’v O ^ <br />fi': >. j. - : < <br />^ fC; ' <br />T>pe of Application to be Filed <br />Property Identification Number (P.i.D.) o S ^ ^ i qioi ^oiq >-.4-'^ ^*^3 <br />X. <br />/ <br />I <br />^APPLICANT iy ^ <br />Name <br />Address 2 3>5“ <br />Phone (home) <br />Phone (work)'YSy-iicti <br />firv- Zip SrSS-9. <br />OWISER (i <br />Name <br />^different tf^ a^Jlcaj^ ^Phone fhome) ^ <br />Phone <br />Address /^n/ T <br />City Zip ^ c~:?CY <br />Date Property Acquired____---------------------------- <br />I (do) (do not) also own the adjacent parcels of land. <br />fees - CONDITIONAL USE PERMITS - <br />S 50.00 For each variance request with CUP application <br />• ^ir ^ <br />’ $125.00 Residential Accessory Use <br />' S200.(X) Institutional (church, school, etc.) <br />’ $175.00 Guest House/Guest Apartments <br />' $150.00 Duple.x Credit/Bldg <br />' $250.00 Commercial/Industrial Use <br />■ $200.00 Land Alteration <br />Grading and filling - designated wetland or floodplain <br />Grading and filling - 101 cu. yd. or niore <br />Grading, seawall, retaining walls within 75’ of lakeshore <br />PRD'PID - see Fee Schedule . . x <br />$100.u0 Renewal Fee (no change from original application) <br />After-the-Fact Fee - Double Current Application Fee <br />OTHER .APPLICATIONS , r a <br />$200.00 Commercial Site Plan Review (+ consultant fees) <br />$250.00 Vacation <br />$175.00 Easement Vacation^ <br />^ $ 75.00 Easement Vacation With Subdivision <br />$300.00 Rezoning (PUD - refer to fee schedule) <br />$300.00 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) <br />(month/year)