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� PC Exhibit A <br /> City of Orono <br /> Land Use & Conditionaf Use Permit <br /> Appiication <br /> ��: ,�,�,� �5-. 7 0 <br /> ���/�r� 2750 Kelley Parla�y <br /> 1�� Orono,MN 55356 Date ReOBIVBd: <br /> MaNt: 852-249460Q ��' � <br /> fs�c 852-248-4818 F�e: <br /> � � , �' P.o�.soz� Escrow�&$ <br /> �' G1 Crysfaa 8ay.MN 55323-0066 Petmit Fee <br /> t�XESH��`� No�es: <br /> This applicabion form rx�ust be campiete�i in full. Appl�Cant wili be notified v�n 15 days as to the stat�of the <br /> applicafion. Incomplste apptications will n,Q�be pfaced on Plannin�Commission Agendas. <br /> Job 3ite Adde+ess: _,35 96 Sho r�/ine ,�r , O,�no, �y�l $"53�l <br /> COMTRACTOR 1 APPLICANT tNFORMATION: <br /> Name: /�1��iae L � Lisa �'-/'Sor7 <br /> Phone: td - d 7 O- 3 Fax: - � <br /> addrBss: � 29 S a s s z�P: 553 <br /> Contad Person: GY,�^,5'o ContacYs phone number d - a�o-93 <br /> �� 1��50mm� O�"/O�?K, Applicar�t is: Corrtractor Homeowner {Cirde One) <br /> T�Fi <br /> PROPERTY OWNER INFORMA710N: <br /> Name: <br /> Phor�e(da�: <br /> Mailing A�ess: ZfP: <br /> Emai and/�'Fa�c <br /> Ove�ail Project Descriptlon: <br /> Check Box LAND USE APPLJCA710N3 ketfon Fee Escro�w <br /> I ot Administrative D�eciston S50 Nq <br /> Commercia!Site PI�Review s7�0` ;70,000(miNmum <br /> Com rehenshre Plap Am�dment f'100' �7pp <br /> Easement/Rf ht�f Wa R Vacatlon wi�out Subdfvfsfon $700' ' $i00 <br /> PID 5 aae minimum r code �1001 acr�e ml�mum$1,000' S�o.oOo mmimun <br /> PUD Razonin 92 Colridor On! -Residen6al �70Q+S40 dwdtin uniC` �1o,a00(mhdm�rr, <br /> PUA Remnln 92 Corridor Onl -Commerciai/tndustrial OWacre m�rtnntxn$87 * S1o,000(� <br /> RPiJD a PRD,withaut Subdivision $5Ue/dw�elln mirdm�n S�o,oOp rr�wru,m) <br /> Zonln Amandrne�ts iacludin R�ezoNn 5700'' S/00 <br /> Check Box CONDI710NAL IiSE PERMET CUP Iqtion Foa Escrorr <br /> Af�e�r�ad CUP Double Fee <br /> Amend�c(sting CUP ;700' N/A <br /> Commet+�iai/lndustMal Use �700' $700 <br /> �upiex Credit{per buildirg) ' $700` g70p <br /> Gradin and F1iNn 1 cu. or more $'TOOR+Permit Fee 700 <br /> Gradin and filling-�rn+lth[n 75'of OHWI(ndudes seawalls&retaining walis) $7Q0"+Pertnit Fee $'T00 <br /> Grading and fliling-+�11and and floodplain $700`+Permri Fee y7pp <br /> Guest Hause!Guest A $7q0' �'7pp <br /> Instttutlonal-T e: $700* �7pp <br /> Renewal of CUP,IF no chan e to ' i�al plan $3� �q <br /> ResiderKiat!Resldential Accesso Use-7 $700` y700 <br /> 'Plus�Englneering S.I.,egal R4vlaw Cosfs <br /> ��� ���b AUG �� 9 20i5 <br /> P�11C1TY OF ORONO � 3 � 8 0 <br />