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PC Exhibit A <br /> .. ��.����tf�%��. ...v <br /> City of Orono �a� � � �01� <br /> Land Use & Conditional Use P��i 9�t�r����'r <br /> Application <br /> StreetAddress: Application# ��— �j� 2� <br /> �1 O/�TO 2750 Kelley Parkway <br /> i� : r Orono,MN 55356 Date Received: b ( �S <br /> Main: 952-249-4600 Staff: �(� <br /> fax: 952-249-4616 Fee: �('jO� <br /> �1 Mailing Address: ESCrow#&$ �" <br /> 'y� �� P.O.Box 66 <br /> G Crystal Bay,MN 55323-0066 Permit Fee <br /> l�kFS H��� Notes: <br /> This application form must be completed in full. Applicant will be notified within 15 days as to the status of the <br /> application. Incomplete applications will not be placed on Planning Commission Agendas. <br /> Job Site Address: �7� Q��1T'�C 2p�-�p <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: .5 jt�W(s — � <br /> Phone: Fax: <br /> Address: Cit : <br /> Contact Person: o ContacYs phone number � ZIP: <br /> Email {�����p�����pPlicant is: Contractor Homeowner (Circle�ne) <br /> �l'G�s�LS'7r�d�VN�rlt_ <br /> PROPERTY OWNER INFORMATION: � <br /> Name: fL.1yJ(} � — G�,v <br /> Phone (day): .. <br /> Mailing Address: ZIP: <br /> Email and/or Fax <br /> Overall Project Descriptio : p�� � <br /> Check Box LAND USE APPLICATIONS lication Fee Escrow <br /> A peal of Administrative Decision $50 NA <br /> Commercial Site Plan Review $700"` $10,000(minimum) <br /> Com rehensive Plan Amendment $700" $700 <br /> Easement/Ri ht-of Wa ROW Vacation, without Subdivision $700" $700 <br /> PID 5 acre minimum er code $200/acre minimum $1,000"` $10,000(minimum) <br /> PUD Rezonin Hw 12 Corridor Onl –Residential $700+$40 er dwellin unit' $10,000(minimum) <br /> PUD Rezonin Hw 12 Corridor Onl –Commercial/Industrial $200/aer,e minimum$875 ' $10,000(minimum) <br /> RPUD or PRD,without Subdivi,sion $50/dwellin minimum $600 $10,000(minimum) <br /> Zonin Amendments includin Rezonin $700* $700 <br /> Check Box CONDITIONAL USE PERMIT(CUP) Application Fee Escrow <br /> After-the-Fact CUP Double Fee <br /> Amend Existing CUP � $700" N/A <br /> Commercial/Industrial Use � $700" $700 <br /> Duplex Credit(per building) $700" $700 <br /> Gradin and Fillin –501 cu. d.or more $700*+permit Fee $700 <br /> Grading and fiNing–within 75' of OHWL(includes seawalls 8�retaining walls) $700*+Permit Fee $700 <br /> Grading and filling–wetland and floodplain $700*+Permit Fee $700 <br /> Guest House/Guest A artment $700" $700 <br /> Institutional–Type: $700" $700 <br /> Renewal of CUP, IF no chan e to ori inal plan $350 NA <br /> Residential/Residential Accessor Use–T e: $700* $700 <br /> a '? '. 'plus, Engineering 8�Legal Review Costs <br /> Packet Last Updated: January 2015 � � 7�� <br /> Page 11 <br />