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, , <br />t±:tf ...., 1-11 _,._._, ' - <br />PROPERTY LOCATION / 0/1-~ A <br />Site Address_ 0Qo 11.j H/4:"-«'r O~e11,4 e?::2.LnL-----·--------- <br />Type of Application t~ be Filed "'::ii , 7 -;f-r , <br />Property Identification Number (P .LD/=j; f"t ).....f, r-1-?4_?-Jf__)+--------- <br />APPLICANT Phone (home) yy 6 Jl-Cf 7 <br />Name fn:"CJe / &~v Phone (wprk) 6~..r ~ 'I/~ <br />Address o/Ccr/ 0/'j/<1.I'."-/f:C/~ City /J/4«a:z<AJ-Z?n Zip J-u--YZ?J-- <br />OWNER (if different than applicant) Phone (home) ______ _ <br />Name ·---------------Phone(work) _______ _ <br />Address ____________ City _______ Zip ___ _ <br />Date P~~oqoired Gt{; /'7 2b.. <br />I (do) ~also own the adjacent parcels of land~ <br />____ (month/year) <br />FEES -CONDIT10NAL USE PERMITS - <br />--'-~--$ 7 755 .. 0010 For each variance request with CUP application <br />__ $175.00 Residential Accessory Use <br />---$250.00 Institutional (church, school, etc.) <br />---$225.00 Guest House/Guest Apartments <br />___ $200.00 Duplex Credit/Bldg <br />$300.00 Commercial/Industrial Use ---$250.00 Land Alteration ---Grading and filling -designated wetland or floodplain <br />__ Grading and filling -101 cu. yd . or more <br />__ Grading, seawall, retaining walls within 75' of lakeshore <br />PRD/PID -see Fee Schedule ----$150.00 Renewal Fee (no change from original application) <br />---After-the-Fact Fee -Double Current Application Fee <br />OTHER APPLICATIONS <br />$250.00 Commercial Site Plan Review ( + consultant fees) <br />~.00 Vacation <br />~200.00 Easement Vacation --$100.00 Easement Vacation With Subdivision --- <br />---$350.00 Rezoning (PUD -refer to fee schedule) <br />---$350.00 Comprehensive Plan Amendment <br />---$100.00 Appeals <br />Other -see Fee Schedule -- <br />PRESENT USE OF PROPERTY~ <br />Present Zoning District -----~'---- <br />Pre$ent Use of Property 7 Residential __ Other (specify). _____ _ <br />DEC-12-1996 09:45 <br />6 <br />6124730510 97% P.09