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• 3 , 7 <br /> City of Orono kill r <br /> Land Use & Conditional Use Permit <br /> Application <br /> oStreet Address: Application# /6-- 3/p3 4 <br /> A TO Kelley Parkway <br /> l�/ Orono,MN 55356 Date Received: �'� <br /> \)111L- <br /> Staff : <br /> Main: 952-249-4600 <br /> ll <br /> fax: 952-249-4616 Fee: ��, <br /> Mailing Address: Escrow#&$ <br /> y P.O.Box 66 ��' <br /> F G� Crystal Bay,MN 55323-0066 Permit Fed <br /> `9kES H OL� 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: 31yy U 5- N or-WA 5 Ao(e, t fc'e ) cYMo , MINI <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: `AI ate,r41 Prc S, IL - <br /> Phone: Fax: 9 5?, -41 b— OO 0 `7 <br /> Address: 3I 5 NOY(^ SVwY-e. DriV, City: OwY.o ZIP: 552 9 l <br /> Contact Person: ev�j-p„1 Jo�n�sp� Contact's phone number �5 a—415-- )9 07 <br /> Email �re,�efl v}-eAr W iolAtn, , coo.) Applicant is: Contractor Comeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: Lr4 `�� �� "Pi-Name: (ScU/tl -2 OS o�/P. '�J <br /> Phone(day): L 1 <br /> Mailing Address: ZIP: <br /> Email and/or Fax ff <br /> Overall Project Description: l/1/4� Pr 1i-e,,r&,4 ov — 10/113�}- kk i A �cus 5 ®-F 500 cu,id,(, <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 Subdivis on $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 76'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 /> *plus,Engineering&Legal Review Costs <br /> Packet Last Updated: 03/29/13 <br /> Page 12 of 29 <br /> I <br />