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fc’-ite <br />i <br />rn . '. .:•>.75T7A.- <br />22- <br />site Address PH(Sh<>^i 4 <br />Please check one - Property ------ <br />(for Conditional Use Applications only) <br />____ torrena? <br />Please attach legal description to application if not included ^ ^r,sao <br />on required survey. _______________________KII^£lj £lI£L <br />--------------------------------------------------- , 7Z.Q200000 <br />APPX>ZCAjaT <br />Maine <br />Address <br />Phone (home) <br />Phone (work) <br />City ______ <br />OMUER (if different than applicant) <br />/T. /AAA.f <br />Phone (home) <br />01 GEii "?r» Of; <br />nucrv Tf 00 <br />m <br />•eaMSBAMSip * <br />in/'? 7* <br />XV/ 1 / <br />.Phone <br />Address liiO /iA/TvgAsiT7 fr^e.ci.i.Y fjJkoLJM Zip <br />. , (month/year) <br />g^Tlof ■g^^otf Ss^tm the ______ <br />yggg — COMDITXOHAL USS PEPH^'fS * ^ <br />p» <br />$100.00 a) Residential accessory Use <br />^15^,00 b) institutxonal (church, school, etc.) <br />$150 e00 c) Duplex Credit/Bldg <br />$250.00 d) - Commercial/Industrial Use <br />$200.00 fJ Land Alteration <br />Grading and filling - designated wetland or <br />Grading*and filling - 101 cu. yd. ®f <br />Gradingf seawall# retaining walls withi <br />of lakeshore <br />PRD/PID - see fee schedule <br />a APPLICATIOMS <br />$150.00 <br />“n?- $250.00 <br />—- $150.00 <br />---------- $ 50.00 <br />■■ $250.00 <br />~ $100.00 <br />Commercial Site Plan Review (•► consultant fees) <br />Vacation <br />^2“ent vacation With Subdivision <br />Rezoning <br />Appeals <br />w w ^ m ^ <br />other - sea fee schedule <br />{A. ..4 <br />m <br />V <br />■fj <br />:'' imvi <br />Kiii||a^ <br />•! >' <br />PRBSBHT USB OP PROPERTY <br />Present Zoning Distrlc <br />Present Use of Propert <br />DBSCRIPTIOH OP REQUEST <br />Describe request in de <br />2. <br />3, <br />required submittals <br />1. Completed Application <br />Certified Property C <br />this list from Hennep <br />Center 348-3271) <br />St2unped# legal sized <br />on the above list witJ <br />Certificate of survey. <br />Topographic survey <br />alterations involve ci <br />Construction plan# if <br />Plat Map. <br />As an addendum to thi <br />any other persons you <br />The applicant and Properl <br />remember that your applicat <br />.lot been included. <br />Certification by Zoning Dep <br />Zoning Officials Signature <br />APPLICAHT'S SIGHATURK <br />The applicant hereby agr <br />requested by the Zoning i <br />unusual expenses incurred 1 <br />the information supplied <br />knowledge. <br />Applicant's signature <br />OflMBRS SIGNATURE <br />The owner hereby acknowlec <br />luthorized reasonable enti <br />agents# commieaion memb <br />investigation and verifi^t <br />/Owner's signatui^.^ <br />—————T*—-------. <br />Applicant must have all sul <br />Planning Commission Meetinc <br />third Monday of each month <br />review meetings of the Plan <br />unable to attend a schedul <br />authorized agent attend ir <br />Office of this change prior <br />* • -m*'