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L -y ' <br />I--#:AL LAHO OSS APPLI <br />•M- 1=4F iCITT OF OROVO - <br />PBOFBSTT LOCATION <br />Site Address (E. ^ • <br />Property Identification Number (P.I.O.) <br />'i <br />\\ <br />rrrv nr roiiin <br />c a * I t-i <br />a ■ tn‘»^I <br />k < a / A #A « « * <br />jC ^ ‘ ^ w r • I Wi <br />♦ j • <w'v'V'v\'Y rriY <br />w« t aw-tM <br />•• >* i ♦ <br />•v V • v;V <br />ft n 11 f • T• vv <br />A'£:ripr-7.44AV\ >i?y <br />Please check one ~ Property abstract or torrens <br />^< ct-ei.-.'. r-w« c,*.f ri^;'«a«.'W‘Ww*v wwa »'va f <br />• II /’• • /v <br />(for Conditional Use Applications only) <br />? ' V • /va V/ r / w <br />Please attach legal description to application if not included <br />on required survey. <br />Phone (home) <br />_Phone (work) <br />City vC- Zip SK^3-/ <br />APPLZCAHT <br />Name (S>£4^y L}C/t/, <br />Ad^^ress_____ <br />OffHER (if different than applicant) Phone (home) ^— !S-75c> <br />Neune '*"7^Phone _ _ _ _ <br />Address City zlpSV^Y- <br />Date Property Acquired _ (fflonth/year) <br />I (do) (do not) also own the adjacent parcels wf land <br />PEES - CONDITIONAL DSS PERMITS - <br />Renewal Pee - 1/2 Current Fee //vj <br />After-the-Fact Fee <br />$100.00 a) <br />$150.00 b) <br />$150.00 c) <br />$250.00 d) <br />✓ 0200?^f) <br />/Vc^o/O <br />Institutional (churchy school# etc.) <br />' ^ <br />Land Alteration + j <br />Grading and filling - designated wetland or <br />floodplain <br />Grading amd filling r 101 cu. yd. or more <br />Grading# seawall# retaining walls within 75* <br />of lakeshore <br />PRO/PID - see fee schedule <br />TTHER APPLICATIONS <br />$150.00 <br />$250.00 <br />'' " $150.00 <br />$ 50.00 <br />' $250.00 <br />$100.00 <br />Commercial Site Plan Review (+ consultant fees) <br />Vacation <br />Easement Vacation <br />Easement Vacation With Subdivision <br />Rezoning <br />Appeals <br />Other - see fee schedule