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PC Exhibit A Application# Dq · 31§? Date Received \6 · 20 -0~ Amount Paid 100 .00 CITY OF ORONO CONDITIONAL USE PERMIT and OTHER LAND USE APPLICATION PROPERTY LOCATION SiteAddress 340 Big Island Type of Application to be Filed Vacation of Portion of street Property Identification Number (P.I.D.) 2 3-117-23-3 2-0 0 0 3; 2 3-117-2 3-3 2-0 0 3 5; 23-117-23-32-0040 APPLICANT Name Richard G. Hanson Phone(home) (952) 474-7704 Phone(work) (612) 590-3018 Address 970 Iris Circle City Excelsior Zip 55331 OWNER (if different than applicant) Name -------------------------Phone (home) ________ Phone (work) ________ _ Address City _______ Zip ___ _ Date Property Acquired (month/year) I (do) (~~y{°also own the adjacent parcels of land. FEES -CONDITIONAL USE PERMITS - ___ $700.00 Residential Accessory Use ___ $700 .00 Institutional (church , school, etc.) ___ $700.00 Guest House/Guest Apartments ___ $700 .00 Duplex ___ $700.00 Commercial/Industrial Use ___ $700.00 Land Alteration Permit __ Grading and filling -designated wetland or floodplain =1-- --Grading and filling -501 cu . yd . or more __ Grading , seawall , retaining walls within 75' of lakeshore ___ $350.00 Renewal Fee (IF no change from original application) ___ After-the-Fact Fee -Double Current Application Fee OTHER APPLICATIONS ___ $700 .00 Commercial Site Plan Review , PLUS consultant fees ___ Commercial Site Plan Review Escrow , $10 ,000 minimum ----,,,,~ $200 .00 Easement Vacation , with Subdivision Application V: $700.00 Easement Vacation without Subdivision Application ___ $700 .00 Rezoning ___ $700 .00 Comprehensive Plan Amendment ___ $100.00 Appeals ___ $700.00 Zoning Code Amendment ___ RPUD / PUD / PRD / PID -see Fee Schedule ___ Other -see Fee Schedule CUP and Other Land Use Applications Last Updated: May 22 , 2009 343 3 plus $700 Escrow RECEIVE D OCT 2 0 2009 CITY OF ORONO -c