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� ' F�ECEI�JED
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<br /> �'ilt�/ Of �1"OIIO � DEC 12 2C►1Z
<br /> � . �. �::����,. Conditional Use Permit or �a���FORO��
<br /> � . �
<br /> � � ��Oth�er Land Use Permit Application P� EXh�b,tA
<br /> • � . StreetAddress: Application#
<br /> , 2750 Kelley Parkway • �3 " �5 $.� .
<br /> ,, .
<br /> 'g v�.� Orono,MN 55356 Date Received. :. � oZ --/ �.-/ 2a
<br /> Q ' Staff ;
<br /> Main: 952-249-4600 - :: .
<br /> . �' fax: 952-249-4616 Fee?: (' , . _ �p�;�
<br /> ' Mailing Address: EsCrow#&$ � �
<br /> "�� „yc� P.O.Box 66 . ... ..._ OO . : -� /O.
<br /> G Crystal Bay,MN 55323-0066• Pe�mit Fee
<br /> �9kESH�g'� Notes � .
<br /> i��td�r� �,�..,;a.a. a3t�..v�a.-d3bcx,r�,- ,�s*,xxF�iku:5^'R?{Sw� x:x.�zy.-^-y .-�r';"'R"f3#hf'rM;� ;74:'3t�w .��,.,. t:r;r.r.;sc�� �,.mff{t796;(�n:33:'a'x+a..xa:�-;rs��..>k�3r.., •�=aH
<br /> This a�a I�cafion�f�o,rrr�,must;be corripleted�r�;full�Applicantiwill�be�notifed withinLj15 days=as�;to�the statusxof�the:
<br /> �..�d.�u�.pp ,
<br /> applicatio�.� Incomplete applications will not be placed on Planning Commission Agendas.
<br /> Job Site Address: �tS D ���Jt �v�C�,' �.i ��
<br /> CONTRACTOR/APPLICANT INFO MATION: e
<br /> Name: �c�..��� '� .a.� !"�.,a1 c�
<br /> Phone: . ��,� Fax: �,��-- - ,��
<br /> Address: " I � -t•-r _ S,�_ . Cit : ;j�L� , ZIP: -2��
<br /> Contact Person: ;�. � Contact's phone number '�- ��p _ %g,
<br /> Email �� , �a� , �,� �� Applicant is: rac Homeowner (Circle One)
<br /> PROPERTY OWNER INFORMATION:
<br /> Name: �lZ�° �•!''f'l/ � ''i� �f'�l�'.S
<br /> Phone(day): Z � �/�
<br /> Mailing Address: ` � r " �j; � Z�p;GJ�,�',��
<br /> Email and/or Fax � �y<y 6� / /� r'�'�tyt��G�il�1iG�/.CO/ti'l .
<br /> Overall Project Description: v
<br /> Check Box TYPE OF CONDITIONAL USE PERMIT A lication 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" $700
<br /> Gradin and Fillin -501 cu. d. or more $700*+Permit Fee $700
<br /> Grading and filling-within 75' of OHWL(includes seawalls&retaining walls) $700`+Permit Fee $700
<br /> Grading and filling-wetland and floodplain $700"'+permit Fee $700
<br /> Guest House/Guest A artment $700* $700
<br /> Industrial(church, school,etc.) $700* $700
<br /> Renewal, IF no chan e to ori inal lan $350 NA
<br /> Residential Accesso Structure $700'' $700
<br /> Check Box OTHER LAND USE APPLICATIONS A lication Fee Escrow
<br /> A eal of Administrative Decision $100 NA
<br /> �G Commercial Site Plan Review ' $700* $10,000(minimum)
<br /> Com rehensive Plan Amendment $700 NA
<br /> Easement/Ri ht-of-Wa ROW Vacation,with Subdivision $200* NA
<br /> Easement/Ri ht-of Wa ROW Vacation,without Subdivision $700" NA
<br /> Rezonin $700 NA
<br /> PID 5 acre minimum er code $200/acre minimum$1 000 $10,000(minimum)
<br /> PUD Rezonin Hw 12 Corridor Onl -Residential $700+$40 er dwellin unit $10,000(minimum)
<br /> PUD Rezonin Hw 12 Corridor Onl -Commercial/Industrial $200/acre minimum$875 $10,000(minimum)
<br /> ' gplus,°Engineeri �e� e w-C ' s
<br /> CUP&Other Land Use Applications �
<br /> Updated: January 31,2012 �,, �, U
<br /> - 13- , �
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