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/,..(b <br />-- ---L LAND --- n6 �.n� f <br />__________________________________________________ _________________ <br />PROPERTY LOCATION <br />Site Address Hr.. Ll14 ir.! f v• i�_'.4' .i, I _quo IYIn�.< `i <br />Property Identification Number (P.I.D.) <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 />I � <br />Name /, ;� � If (r. , (Ic Phone -41,1 - )o L J "J <br />Mailing Address yl4l' 6V.wi._'..i -Il LpL �� :. nn -�3� Oi <br />------------------------------------------------------------------- --_-__ <br />OWNER I n <br />Name °I1�4A Plf.g� k Phone <br />Mailing Address <br />Date Property Acquired q' 7j� (month/year) <br />I (do) (dew!) also owry bhe adjacent parcelx of land. <br />FEES - CONDITIONAL USE PERMITS <br />X$100.00 a) Residential accessory Use <br />$150.00 b) Institutional (church, school, etc.) <br />$150.00 c) Duplex Credit/Bldg <br />$250.00 d) Commercial/Industrial Use <br />$200.00 f) Land Alteration <br />Grading and filling - 101 cu. yd. or more <br />Seawall, retaining walls within 75' 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 />$150.00 Easement Vacation <br />$ 50.00 Easement Vacation with Subdivision <br />