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7 <br />"3 <br />i O ^ <br />CITY OF OROHO - GENERAL JW>-DSB ,ipPLlCAT^O H f ^ <br />PROPERTY LOCATION <br />Site Address S lJuj t pd _ _ _ _ _ _ _ _ _ _ _ _ _ <br />Property Identification Number (P.I.D.) 3<p-fl^—3c^ (3^$^ <br />Please check one — Property X_ abstract or torrens? <br />(for Conditional Use Applications only) <br />Please attach legal description to appli^ation if not included <br />on required survey. <br />APPLICANT <br />Name <br />Phone (home) ^"\3" < <br />Phone (work) '=14 \ <br />Address CityfA^i^^- Zip ^-^36*4 <br />OWNER (if different than applicant) Phone (home)_ _ _ _ _ _ _ _ _ _ _ _ <br />Name _ _ _ _ _ _ _ _ Phone <br />Address City <br />Cate Property Acquired <br />I (do) (do not) also own the adjacent parcels of land. <br />zip' OF ORO^O <br />OFFICE <br />(month/year),,v^niyi.-'vyA u w w VV <br />FEES - CONDITIONAL USE PERMITS - <br />Renewal Fee - 1/2 Current F <br />After-the-Fact Fee - Double Current Application Fee <br />jlLEElL^JJIE^ <br />i. L-*v • '• <br />$100.00 a) <br />$1S0.00 b) <br />$150.00 c) <br />$250.00 d) <br />y $200.JO f) <br />CiiECE TL <br />EtCEIPT'FH^irFK YOU <br />^121470 0001 FOl Ti: <br />01/02 <br />Institutional (church, school, etc.) <br />Duplex Credit/Bldg <br />Commercial/Industrial Use <br />Land Alteration ^ <br />Mm_ _ _ Grading and filling - designated wetland or <br />floodplain <br />_ _ _ Grading and filling - 101 cu. yd. or more <br />_ _ _ Grading, seawall, retaining wal)'* within 75* <br />of lakeshore <br />_ _ PRD/Pin - see fee schedule <br />OTHER APPLI .TIONS <br />_ _ _ _ $150.00 Commercial Site Plan Revi«.w (+ consultant fees) <br />_ _ _ _ $250.00 V' ation <br />_ _ _ _ $150.00 Easement Vacation <br />_ _ _ _ $ 50.00 Easement Vacation With Subdivision <br />_ _ _ _ $250.00 Rezoning <br />_______ $100.00 Appeals <br />-______ Other - see . e schedule