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I <br />Site Address B& <br />1-c.f l'f-':J..:l.tl/7-.2...3-31-&J<J/2- <br />Property Identification Number ( P. I .D. ) .t..of-I~ -:,.. :i. -11 z-.l..3 -.31-001 .3 <br />i-ot-I~ -;J.,';)..-117-.23 -3 1 -00.1 'I <br />L~j-/7 -..l:.l.-/1?-.:l-3 -.Ji -C)C/~ <br />1..6-T IS' ~ .4.;t_-ll?-.13 -31:-iJdl{,. <br />6 <br />2{)().(J(J <br />Please attach legal description to application if not included <br />on required survey. A-J..J.. .J.0-f.s ~"" ''p/eJS.ll-~-t J/iei-v af-/4~lre .41,,N"'e'IDA-1/(d ✓,, / .• ,. -. --------------------------------------------------------------------------- <br />APPLICANT Phone (home) SL/J-/t;S-(J <br />Name 04-J)fQ /?. {14~ko/J Phone (work) £3'1--'/:c9-5-3 <br />OWNER (if different than applicant) Phone (home) 5..S-9 -9..3 43 · <br />Name cAa.oles. L, Pe.G-e.low <br />Address l.:l~JS-"/-St/ /J.ve. ff~ <br />.r , <br />Phone(o Ff,) , ;? "?.1 -42/42--"' <br />City Ph-?Mt«d zip s-s-~ sti. > <br />Date Property Acquired---.----,,....,...-------=---(month/year) <br />I ~ (do not) also own the adja.cent parcels of land. <br />FEES -CONDITIONAL USE PERMITS - <br />./ <br />$ 50.00 For each variance request with CUP application <br />$125.00 Residential accessory Use <br />$175.00 Institutional (church, school, etc.) <br />$150.00 Guest House/Guest Apartments <br />$150.00 Duplex Credit/Bldg <br />$250.00 Commercial/Industrial Use <br />$200.00 Land Alteration <br />I Grading and filling -designated wetland o ~plain <br />Grading and filling -101 cu. yd. or more <br />___ 1 Grading, seawall, retaining walls within 75' of lakeshore <br />PRD/PID -see fee schedule <br />Renewal Fee -$100.00 (no change from original application) <br />After-the-Fact Fee -Double Current Application Fee <br />OTHER APPLICATIONS <br />$200.00 <br />$250.00 <br />$175.00 <br />$ 75.00 <br />$300.00 <br />$300.00 <br />$100.00 <br />Other - <br />Commercial Site Plan Review(+ consultant fees) <br />Vacation <br />Easement Vacation <br />Easement Vacation With Subdivision <br />Rezoning (PUD -refer to fee schedule) <br />Comprehensive Plan Amendment <br />Appeals . <br />see fee schedule <br />#