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. RECEIiIED <br /> City of arono �u� 1 s zo�z <br /> Conditional Use Permit or Ca�oFOROtie <br /> Other Land Use Permit Application <br /> ' Sfreef Address: � <br /> '" `'=' � 2750 Keiley Parkway. Application# _ <br /> ''��./�j.':., Orono,MN 55356 Date Received: <br /> /�'� r/���, Staff: <br /> �`�.V L/`,'� Main: 952-249-4600 � . _ <br /> J ` �?�::;.. '' fax: 952-249-4616 Fee: <br /> I�,a �'�•;�.,; p,,�, Mailing Address: EsCrow#&$ <br /> .� 4i-,f.r.. -. <br /> ��-��� �ci�::: -�:,-;•� �;. P.O.Box 66 <br /> � 'F' '1�i t:,��r��;� p„ Crystal Bay,MN 55323-0�66 Permit Fee <br /> .{,Qk���.:oSr.t4'�' . Notes: <br /> �SH <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: <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: Conc�.oi' La�e d 5caow•a� <br /> Phone: 4S�. +l'1 z +1 ��`d Fax: q5� +!T'z y�f 9 <br /> Address: �r�' P,�.'.s� La,�.,_ - CitY: t^'Iou�NO ZIP: 5536'{ " " <br /> Contact Person: .5;;,,,,� P �y. <br /> �,,,,,;,�� ContacYs hone number sa►n«.�_ <br /> Email '�h•5,,,,�TK 31oz @ Applicantis: Contractor Homeowner (CircleOne) <br /> �- <br /> -�rot►'4�ec,w�'E , ma'C <br /> PROPERTY OWNER,�f�FORM�TION: <br /> � Name: {�tL� ov�s� � <br /> Phone(day): �� `d1� c8 <br /> Mailing Address: �ID51 L-�i�k.Joa�. c� O naxo ZIP: 553��{ <br /> Email and/or Fax r ousd� i z 3 � a.o 1 �w� <br /> Overall Project Description: � ��,R, ��kacc s -}o .Aa.k�e.. <br /> Check Box TYPE OF CONDITIONAL USE PERMIT A IicaUon Fee Escrow <br /> After-the-Fact Double <br /> Amend Existing CUP � �700 N/A <br /> Commercial!Industrial Use �700" $700 <br /> Duplex Credit(per building) � �700* 5700 <br /> Grading and F.illing-501 cu.yd.or more 5700"+Permit Fee $700 <br /> Grading and filling—within 75'of OHWL(includes seawalls&reiaining walls) �700"+Pertnit Fee $700 � <br /> Grading and filling—wettand and floodplain �700*+Pertnit Fee $700 <br /> Guest Hause/Guest Apartment 5700* $700 <br /> Industrial(church,school,etc.) �700* $700 <br /> Renewal, IF no change to ori inal plan $350 NA <br /> Residential Accessor Structure �700` �700 <br /> Check Box OTHER LAND USE APPLICATIONS Application Fee Escrow <br /> A eal of Administrative Decision $100 NA <br /> Commercial Site Plan Review $700" �10,040(minimum) <br /> Comprehensive Plan Amendment 5700 NA <br /> Easement/Ri ht-of-Wa ROW Vacation,with Subdivision �200" NA <br /> Easement/Ri ht-0f Wa ROW Vacation,without Subdivision $700" NA <br /> Rezoning �700 NA <br /> .•� PID(5 acre minimum er code) �2001 acre miraimum�1.000 510.000(minimum) <br /> � PUD Rezonin H 12 Corridor Onty —Residential �700+$40 er dwellin unit �10,000(minimum) <br /> PUD Rezonin H 12 Corridor Onl —Commercial/lndustrial $200/acre minimum�875 510.000(mmimum) <br /> �._�.____�...._._.�._---.._...._---•-- <br /> *plus,Engineering& Legal Review Costs <br /> RGy���G� <br /> JUL � 8 2012 <br /> Cl�OF OR�N� <br />