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PC Exhibit A <br /> City of �rono <br /> Land Use & Conditional Use Permit <br /> Appiication <br /> s�r'��: n�u�t�,� /5- 7 D <br /> .('� O�,O 273�Kelley Peric�y — <br /> Z` Orono,MN 55356 Date Reoeived: <br /> Main: 852-249-4600 ��' � <br /> r�c �2-sas-as�s Fee: <br /> � � . ��" P.O�.Bwc� Escrow#$3 <br /> �' G C►Ya�1 BaY.MN 55323-0066 Pem�it Fee <br /> t�xFSH��'� 1Vo�es: <br /> Th�appUcation form must be c�1e#erJ in full. Appl�cant w�i be rrotified witttin 15 days as to#he sta#t�s of the <br /> spp�caUon. Incomplete appfications will nQt be plac�on Planning Commission�qgendas. <br /> JobSiteAddress: _3596 Sho�/ine ,�r' , Orvno, /'���1 ,5'S391 <br /> CONTRACTOR 1 APPLICANT[NFORMA710N: <br /> n�ame: /��'chae� �- L�`sa La.r-sor� <br /> pno�e: ia - a�o- � FaX: _ __ <br /> Address: Z 29 S s C� : s 7.�P: S53� <br /> Contad Person: G�'S0 Cot�tact's phone number d - .��0-93 <br /> �� l��5omm� OC�"/o0�� App[icant is: Corrtrador Homeowner (Clrcle One) <br /> Z'� <br /> PROPERTY OWNER INFORMATION: <br /> Idame: <br /> Phone(da�: <br /> Mailing Address: ZIP: <br /> Emai and/or Fax <br /> O�erafi Project Descriptlon: <br /> Check Box [.A�iD USE APPI.ICATiON$ ic�ion fee Fucro�w <br /> 1 of Admi�strative Decisfon t50 Nq <br /> CommercFa!Site PI�Review 5700' �i0,000(miNm�en <br /> Com rehensfve Plae�Amendment S'T00t �7flp <br /> F_asement/ M-of R Vacadon without Subdivision ;70Q' �7pp <br /> P!D 5 acr�e mlNm�rn r code �00/acx�e mimmum$1,OOU" 310.00o me�imun) <br /> PUD Rezonin 12 Cortidor Onl -Residential $700+S40 r dweltin unit` Eto,a00{mlNm�m <br /> PUD ftezonln 42 Corridor Onl -Commeraai/fndustrial $20Q/acre minunum$87 ' S7o,0o0(mkdrnun <br /> RPllD or PRD wilhaut Subd"nrision S50Vdwell� minim�n 600 S1o,o00 mirwnum) <br /> Zonln Amondme�s incladin RezoNn 5700' a'/pp <br /> Check Box CONDtTIONAL USE PERMET CUP Ilcation Fae Escrow <br /> AlEer�hefad CUP Double Fee <br /> Amerld�xlafing CUP �700' N/A <br /> Commercial/lndust►iaJ Uss $700� $700 <br /> Dupfex Credit r building) ' �700' $7pp <br /> Gradf� and FIHIn cu. d.or more s'700"+P�mit Fee 700 <br /> tiradi and flllin thln 75'of OHYVL ndudes seawalls&retaining waks) $700*+p��Fee S'700 <br /> (3radfng and iBIMg-wetland and floodpla�n $700`+Permlt Fee �'70Q <br /> Guest Hause 1 Guest A �700` pp <br /> Instftutional-T e: $70D" �700 <br /> Renewal ef CUP,IF no chan e M inal plan $35p Nq <br /> Residerniat l Resl�ntial Accessa Use-T e: $700' S700 <br /> `Plus,EogMearing 1�.tAg�l R�vlew Go� <br /> ��� ���� AUG �� 9 2Di5 <br /> P�"C1TY OF ORONO � 3 � $O <br />