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M-.t: K-4 lAL UHD USB APPLICXT7 OF OROHO - <br />PROPERTT LOCATZOH <br />Sit® Address ___5^CC # iLo / ty <br />Property Identification Number (P.I.0.) <br />Please check one - Property abstract or torrens? <br />(for Conditional Use Applications only)..-•.-Vi,' <br />* *.**-'\Please attach legal description to application if not included <br />on retired survey. . - w^ <br />APFLICABT Phone (home) latl • 3 • V 2 Q ‘. v <br />Name Ci. C 6 Phone (work) <br />Address ^CC Gm/P city <br />•••• -V <br />lU i4r4 ziD S's J 9 /- : r <br />ONIIBR (if different than applicant)Phone (home) <br />Name Phone <br />Address city 2iP <br />Date Prooertv Acouired (month/year) <br />I (do) (do not) also own the adjacent parcels of land. <br />WEES * COBDITIOHAL USB PB8MITS - <br />Renewal Fee - 1/2 Current Fee <br />After-the-Fact Fee * Double Current Application Fee <br />$100.00 a)Residential accessory Use <br />$150.00 b)Institutional (church, sd <br />$150.00 c)Duplex Credit/Bldg <br />$250,00 d)Commercial/Industrial Use <br />X/$200.00 ■f)Land Alteration <br />_ _ _ Grading and filling - designated wetland or <br />'.floodplain <br />C y Grading and filling - 101 cu. yd. or more <br />Grading, seawall, retaining walls within 75* <br />of lakeshore <br />PRO/PIO - see fee schedule <br />OTHBR APPLXCAXZOBS <br />$150.00 Commercial Site Plan Review (-f consultant fees) <br />$250.00 Vacation <br />$150.00 Easement Vacation <br />$ 50.00 Easement Vacation With Subdivision <br />____ $250.00 Rezoning <br />_ _ _ _ $100.00 Appeals <br />_____ Othur - see fee schedule