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City of Orono Land Use & Conditional Use Permit Application Street Address: 2750 Kelley Parkway Orono, MN 55356 Main: 952-249-4600 fax: 952-249-4616 Mailing Address: P.O. Box 66 Crystal Bay, MN 55323-0066 Application # Date Received: Staff: Fee: Escrow# & $ Permit Fee Notes: PC Exhibit A This application form must be completed in full. Applicant will be notified within 15 days as to the status of the application. Incomplete af plications will not be placed on Planning Commission Agendas. Job Site Address: J\.}OD '3ot\J'vr Pa.,-K R7 (:}y-(!>-11(!) K 0 s£::3ql CONTRACTOR/ APPLICANT INFORMATION: Name: Phone: Fax: Address: Cit : ZIP: Contact Person: Contact's phone number ------------Email App Ii cant is: Contractor Homeowner (Circle One) ------------ PROPERTY OWNER INFORMATION: Name: Sh.v:a.-E"l l," oft Phone (day): 'lS:2.-2-\o-Z G~~ Mailing Address: l Lj ot> f3oald>c.,,c Pa.:e:K R.o J Email and/or Fax :Sa..\\ f C: :t-1--=@ ,;£a..:h?vl-½ • e.;,m Overall Project Description: ~M?~-~W~-h~a ...... '(V\~rL~b=v~,'l .... c.,,_Q ____________________ _ ZIP: ~ S:::;Vi' I Check Box LAND USE APPLICATIONS Application Fee Escrow Appeal of Administrative Decision $50 NA Commercial Site Plan Review $700* $10,000 (minimum) Comprehensive Plan Amendment $700* $700 Easement/ Right-of Way (ROW) Vacation, without Subdivision $700* $700 PID (5 acre minimum per code) $200/ acre (minimum $1,000)* $10,000 (minimum) PUD Rezoning (Hwy 12 Corridor Onlv)-Residential $700 + $40 per dwellinq unit* $10,000 (minimum) PUD Rezoning (Hwy 12 Corridor Onlv)-Commercial/Industrial $200/acre (minimum $875)* $10,000 (minimum) RPUD or PRO, without Subdivision $50/dwelling (minimum $600) $10,000 (minimum) Zonina Amendments includina Rezoning $700* $700 Check Box CONDITIONAL USE PERMIT (CUP) Application Fee Escrow After-the-Fact CUP Double Fee Amend Existing CUP $700* N/A Commercial / Industrial Use $700* $700 Duplex Credit (per building) $700* $700 Grading and Filling-501 cu. vd. or more $700*+Permit Fee $700 Grading and filling-within 75' of OHWL (includes seawalls & retaining walls) $700*+Permit Eee $700 )< Grading and filling-wetland and floodplain c. :$JQ0*+Permit Fee ;3J '$700 ', Guest House / Guest Apartment $700* $7bb Institutional -Type: $700* $700 Renewal of CUP, IF no change to original plan -$350 NA Residential / Residential Accessorv Use -Type: n1::1.,.;~.1v,;n $700* $700 *plus, Engmeermg & Legal Review Costs Packet Last Updated: January 2015 \ , · tlUt ? ? ?015 Pagecfry OF OR.ONO #3773