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) <br />City of Orono <br />Land Use & Conditional Use Permit <br />Application <br />Street Address: <br />2750 Kelley Parkway <br />Orono , MN 55356 <br />Main: 952-249-4600 <br />fax: 952-249-4616 <br />Mailing Address: <br />P.O. Box 66 <br />Crystal Bay, MN 55323-0066 <br />Application # <br />Date Received: <br />Staff: <br />Fee: <br />Escrow# & $ <br />Permit Fee <br />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 a~plications will not be placed on Pla~ning Commission Agendas. <br />JobSiteAddress: J\.lOO ~tvvr Po.cK R7 (!)y-~(!) KU s£"3cil <br />CONTRACTOR/ APPLICANT INFORMATION: <br />Name: <br />Phone: Fax: <br />Address: City: ZIP: <br />Contact Person: ____________ Contact's phone number <br />Email Applicant is : Contractor Homeowner (Circle One) ------------ <br />PROPERTY OWNER INFORMATION: <br />Name: Sh.v:a-£1 l,"oft <br />Phone (day): 'ts:2.-2-\o--Z 6~~ <br />Mailing Address: l Y ot> 1"3C!'llJ, 1 -r-eo.-r-K £o J <br />Email and/or Fax 5a.J l fo t:f:@ };.f~tvvt,h • ~m <br />Overall Project Description: ~M?'-=->..~/V~V:~b~a .... ¥Y' .......... fL~~b~v~,' ....... l ..... c9~--------------------- <br />ZIP : ~£"511 <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 dwellinQ unit* $10 ,000 (minimum) <br />PUD Rezoning (Hwy 12 Corridor Only)-Commercial/Industrial $200/acre (minimum $875)* $10,000 (min imum) <br />RPUD or PRD, without Subdivision $50/dwellina (minimum $600) $10 ,000 (minimum) <br />Zon ing 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 <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_Eee_ $700 <br />)< Grading and filling-wetland and floodplain L:::.$1QQ_*+Permit Fee-~ '$706 -· <br />Guest House / Guest Apartment $700* $7bb <br />Institutional -Type: $700* $700 <br />Renewal of CUP , IF no change to original plan -$350 NA <br />Residential / Residential Accessory Use -Type: ~t:t;E'JVr;=n $700* $700 - <br />Packet Last Updated: January 2015 <br />., <br />\ • <br />:; <br />· ,· JUI_ ? ~ 2 D 15 <br />Pagry!iJ..-..,0 __ <br />'' y . F ORONO <br />*plus, Engmeermg & Legal Review Costs <br />#3773