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PC Exhibit A <br /> C i ty of O ro r�o <br /> Land Use & Condifional Use Permit <br /> Application <br /> ,� (� S�tA��: ,��,;�,# �. <br /> l�'"�/�''� 2��U Kelley Parkway - <br /> � Y Orono,MN 55356 Date ReCBiVed: <br /> Mah: 952 249-46p0 S��: rV t /!A�'vL <br /> fax: 952-249-4616 Fee: �} <br /> rt '' MeXli�g Ad�Asss: ESCrow#8�$ <br /> '�� ,`� P.O.Box 88 <br /> G Crystel Bay,MN 55323-00�6B Permit Fee <br /> `�x�'SHO�� ry�g: <br /> This application form must tre completed in full. Applicant will be notifed witliin 15 days as to the status of the <br /> application. Incomplste appljcations wi1! not be placed on Planning Commisslon Agepdas. <br /> Job 5ite Address: ��� S{-���(�J�j �Q�'D <br /> CONTRACTOR 1 APPLICANT 1 ORMATlON: <br /> Name: L� 's(�- l7.�/ �- -d/� <br /> Phone: �Z.. `� _ Z? Fax: <br /> Address: 3� Ci . Z1P: <br /> Contact Person: ContacYs phone r�umber z� 2 �, <br /> Email --�add� -��_���n��- App[icant is: ocrtra Horneowner (Circle One) <br /> PROPERTY OWNER INFORMATiON: <br /> Name: <br /> Phone(day); <br /> Mailing Address: Z�P: <br /> Email and/or Fax <br /> �verall Project Description: <br /> Chack Box LAND U3E APPUCA'TlONS A Ilcation Fee Escrow <br /> A a1 of Administrative Decision $�p � <br /> Commercial Stte Plan Revfew $7d0" $10,000(minlmum <br /> Com rehenslve Plan Amendment $700* �740 <br /> Easement 1 RI ht-of Wa RO Vacation without Subdivision �700' 700 <br /> PID 5 acre minimum er code �200/acre minimum$1,000 510,000(m�lmum) <br /> PUD Rezonln H 12 CorFdor Oni -Residerttiak $700+�4p er dwelli unit* $1Q,Ooo mfnimum) <br /> PUD Rozonin Hw 12 Corrfdor On -Commer�ciatllndustrial $2p01acre minimum�875• $�0,000 minimurn) <br /> RPUD or PRD�wlthout Subdivision $ dwellin minimum� $� minlmum) <br /> Zonin Amendments includin Rezonin pp � <br /> Check Box CONDITIONAL U$E PERMIT CUP �ip�� F� �a� <br /> After-the-Fad CUP Double Fee <br /> Amend Existing CUP $700' WA <br /> Commercial/Industrfa{Use $700• $700 <br /> Duplex Credit(per buddin j $700* �700 <br /> Gradin and Filtln -501 cu. .or more $700'+Permit Fee $70U <br /> Grading and frlling-�++ithin T5' of OFtWL{includes seawa!!s&retainin walls) $700"+Permit Fee $700 <br /> Grading and fllling-watland and floodplain $70U*+Permit Fee $700 <br /> Gu�st House/Guest artmant * $�� <br /> tnstitutional-Type: Z/�� 70 ' <br /> Renewal of CUP, IF no cha to o' inal lan $350 Nq <br /> Resldential/Resldential Acoessa Use-T e: $700� 700 <br /> `plus, EngineerEng a Lsgal Review Cos� <br /> CITY QF ORONO <br />