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Ivy ii•/�-low <br />�q �_la .. I ''• r t t nTrl v� TA% iTOO t' GaF� <br />^p� CITY OP OoO <br />/ <br />-GEN LAND OEE APPLICk41611 / _ <br />---------------------------------------------- <br />PROPERTY LOCATION <br />Site Address 3 6 P WA <br />Property Identification Number (P.I.D.)3/ i',.. <br />Please check one - Is the property ✓ abstract or torrens7 <br />(for Conditional Use Applications onl�— <br />Please attach legal description to application if not included on <br />required survey. <br />APPLICANT <br />Name <br />Mailing Addre ; 26 D M XAN Ellb <br />Phone 473-1008 N•4SY2.•07710. <br />Own= . <br />Name rloym OWITA Lwa" Phone 173-7.a02 :41SY-L-07770 <br />Mailing Address .? (.0 WPoTr'tiv 40. hRy'M7'A� Ah t ss37) <br />Date Prop Acqui_red _�Ndr..., I )960 (montn/year) <br />-----I (do) (do not also own the adjacentparcels of land. <br />MM - CONDITIORRI, OSR PERMITS <br />$100.00 a) Residential accessory Use <br />$150.00 b) Institutional (church, schocl, etc.) <br />$150.00 c) Duplex Credit/Bldg <br />$250.00 d) Commercial/Industrial Use <br />✓ $200.00 f) Land Alteration <br />✓/ <br />Grading and filling - 101 cu. yd. or more <br />Seawall, retaining walls within 751 of <br />lakeshore <br />PRD/PID - see fee schedule <br />OTHER APPLICATIONS <br />$150.00 Commercial Site Plan Review (+ consultant fees) <br />$250.00 Vacation <br />$150.00 Easement Vacation <br />6 50.00 Easement Vacation with Subdivision <br />