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• • <br /> City of Orono <br /> Land Use & Conditional Use Permit <br /> Application <br /> /� Street Address: Application# ii3 - 3 .93 6 <br /> Oron Kelley no,MN 536 y Date Received: 1-17'/Staff: <br /> Main: 952-249-4600 <br /> fax: 952-249-4616 Fee: '7e, OD <br /> yMailing Address: <br /> P.O.Box 66 Escrow# $ !�'1104 <br /> G. Crystal Bay,MN 55323-0066 Permit Fe <br /> `9kES H OC-t 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: 31to S" NCr-H 5'ore DIi/ 1 ©1��CI mJv <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: (lea i PeofaciKke , Lt; C <br /> Phone: Fax: 9 5 -4-1 6- oo 0 `7 <br /> Address: Al(95 No4(n SIAAW-C, D6VR, City: Qw✓to ZIP: 55 S2') i <br /> Contact Person: 6 --E,{ rlot'A coin Contact's phone number ¶-5 a-415- /9 07 <br /> Email r{ejii e, re.}c2 t& ;oimm,coyt , Co"l Applicant is: Contractor omeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: (Sait/W2, O S GILLci/e, <br /> Phone(day): <br /> Mailing Address: , ZIP: <br /> Email and/or Fax <br /> Overall Project Description: L lik, A-Ire,1&r OV ,- It &T f'- �k I Vt 2XCSL,S 5 of- Soo co.-'1O 5 <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 I 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/Industrial Use $700* $700 <br /> Duplex Credit(per building) $700* $700 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/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 1 / LI1I J *plus, Engineering&Legal Review Costs <br /> Packet Last Updated: 03/29/13 CITY OF ORONO 3 <br /> Page 12 of 29 <br />