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• • PC Exhibit A <br /> City of Orono <br /> Land Use & Conditional Use Permit <br /> Application <br /> Street Address: Application# 45 - 3 J <br /> O 2750 Kelley Parkway <br /> YO Orono,MN 55356 Date Received: i-V 7— <br /> Staff: <br /> Main: 952-249-4600 <br /> fax: 952-249-4616 Fee: �f�, OD <br /> Mailing Address: �7 <br /> �*IN)11 - <br /> P.O.Box 66 Escrow#&$ / <br /> G Crystal Bay,MN 55323-0066 Permit Fee <br /> 4- H Okc Notes: <br /> This application form must be completed in full. Applicant will be notified within 15 days as to the status of the <br /> application. Incomplete applications will not be placed on Planning Commission Agendas. <br /> Job Site Address: 3)6 5- Norte Shore 7rive , ©vrnno , MINI <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: Plia-ehPAc- PhorCAe S, LL C- <br /> Phone: Fax: 9 5 - 4'7 6— oo 0 `7 <br /> Address: 31(9 5 No Y'(' 3 kw-4, Pri✓g._. City: QvD,i.o ZIP: 552°) I <br /> Contact Person: f)e,t-eAr r)ohA Spy Contact's phone number 13 a-—4-i.— 19 07 <br /> Email r,{-Q,✓J 6, taeleAr W J►ol/tln . Gorv' Applicant is: Contractor omeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: (SaAta-._ 0.5 a.iwo-ve?. <br /> Phone(day): <br /> Mailing Address: ZIP: <br /> Email and/or Fax <br /> Overall Project Description: (, (AZ „-, cAr on _ r'°1-I M k k PA, c�.,S 5 o - S 00 Cv,10c <br /> Check Box LAND USE APPLICATIONS Application Fee Escrow <br /> Appeal of Administrative Decision $50 NA <br /> Commercial Site Plan Review $700* $10,000(minimum) <br /> Comprehensive Plan Amendment $700* $700 <br /> Easement/Right-of Way(ROW)Vacation,without Subdivision $700* $700 <br /> PID(5 acre minimum per code) $200/acre(minimum$1,000)* $10,000(minimum) <br /> PUD Rezoning(Hwy 12 Corridor Only)-Residential $700+$40 per dwelling unit* $10,000(minimum) <br /> PUD Rezoning(Hwy 12 Corridor Only)-Commercial/Industrial $200/acre(minimum$875)* $10,000(minimum) <br /> RPUD or PRD,without Subdivision $50/dwelling(minimum$600) <br /> Zoning Amendments including Rezoning $700* $700 <br /> Check Box CONDITIONAL USE PERMIT(CUP) _ Application Fee Escrow <br /> After-the-Fact CUP Double Fee <br /> Amend Existing CUP $700* N/A <br /> Commercial I Industrial Use $700* $700 <br /> Duplex Credit(per building) $700* $700 <br /> J <br /> Grading and Filling-501 cu.yd. or more $700*+Permit Fee $700 <br /> Grading and filling-within 75'of OHWL(includes seawalls&retaining walls) $700*+Permit Fee $700 <br /> Grading and filling-wetland and floodplain $700*+Permit Fee $700 <br /> Guest House I Guest Apartment $700* $700 <br /> Institutional-Type: $700* $700 <br /> Renewal of CUP, IF no change to original plan $350 NA <br /> Residential Accessory Use-Type: $700* $700 <br /> JUL I 1 LU I,1 *plus,Engineering& Legal Review Costs <br /> Packet Last Updated: 03/29/13 arf OF ORONO # 3 62 <br /> Page 12 of 29 <br />