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C i ty of Q ro n o �� �h`�'`A <br /> Land Use & Conditional Use Permit <br /> Application <br /> Sbeef Address: ApPlicatlon# �,� `�� <br /> �/�r� 2750 Kelley Parkway <br /> �'� Orono,MN 55356 Date R�eived: 7— �.2 — <br /> Maln: 952-249-4600 StBff: <br /> fax 952-24&4616 Fee: <br /> ,a y Msihng Adr�ess: Escrow#&$ <br /> y�, ,��` P.o.sox ss 90'D • <br /> G Crystal Bay,MN 35323-0066 Permlt Fee <br /> l�kES H�'�'� Notes: <br /> Thrs application form must be completed in fu(I. Appiicant will be notified within 15 days as to the status of the <br /> application. Incomplete a ptications will not be placed on Planning Commission Agendas. <br /> .fob Site Address: 9�DD �a, ra,rK �� (�„�p ��,,,� s 3c�� <br /> CUNTRAC70R!APPLICANT INFORMATION; . <br /> Name: <br /> Phone: Fax: <br /> Address: Cit : ZIP: <br /> Contact Person: Contact's phone number <br /> Email Appllcant is: Contractor Homeowner (Circle One) <br /> 'OPERTY OWNER iN�ORMATION: <br /> ame: ��,C� ����a� <br /> Phone(day): 2-Zl — Z SS � �� <br /> Mailirtig Address: �y DD Z�p: <br /> Email and/or Fax a <br /> Overali Project Descriptbn: �^��y,,,� �j�,,9 <br /> Check Box lAND USE APPLlCATIQNS lication Fee Esarow <br /> A eal of Adminlstrative Dscision a50 Nq <br /> Commercial Sits Plan Revfew $700' $10,000(minimum) <br /> Com rehenslve Plan Amendment $7pp* $�pQ <br /> Easement 1 Ri ht-of Wa RO Vacatfon without Subdivision $700' $700 <br /> PfD 5 acre minimum er code $200/acre minimum$1 000* 370,000{minimum <br /> PUD Rezonin H 12 Corridar Onl —Residentia) $7�0 +$4p er dwellin unft" $10,OU0(minimum) <br /> PUD Rezonln Hw 12 Corridor Onl —Commercial/Industrial $204/acre minimum$875 " $10,000 minimum <br /> RPUD or PRD,without Subdlvlsion $50/dwelli minimum$600 $10,000(minimum) <br /> Zonin Amendments includln RezoMn $700"' $700 <br /> Check Box CONDITIOPIAL USE PERMIT CUP A lication Fee Escrow <br /> After-the-Fact CE1P Doubte Fee <br /> Amend Facisting CUP $700' N/A <br /> Commercial/Industrial Use $700* $700 <br /> Quplex Cr+edit{per building �700• $�Q� <br /> Gradin and Ffllin 01 cu. ,or more �700*+Permit Fee $700 <br /> Gradin and filling--within T5'of OHWL(includes seawalls 8�retaini walls) $700*+p rtnit Eee_ $700 <br /> Grading and fillf�g—weUand and floodplain �:�740*+pe��Fee• $700 ` <br /> Guest House 1 Guest rtment $700• $700 <br /> Institu#lonal—Type: $700* $704 <br /> Renewal of CUP, IF no chan to o inal lan $35U NA <br /> ResidenUal!Resldential Accesso Use—T e: $700* $700 <br /> ; � .. .� � 'plus, Enginesring 8�Legal Review Costs <br /> ,�. .� `�. _ ,.:. sJtjt_ � ? ?015 <br /> Padcet LssY Updeted: Jenuary 20i5 ° , . � � � � � <br /> Pao_E,:(1 Y f`t�nryr�..=. <br />