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PC Exhibit B <br /> City of Orono <br /> Cond itional Use Perm it or <br /> Other Land Use Permit Application <br /> St►eetAddress: �'' ' <br /> 2750 Kelley Parkway Application# .� <br /> ��.� Orono,MN 55356 Date Received: i–d,3 - / <br /> 0 � Main: 952-249-4600 Staff: <br /> fax: 952-249-4616 Fee: � ,37� �-� <br /> Mailing Address: Escrow#&$ <br /> �,�,` f� P.O.Box 66 <br /> '�� �G~ Crystal Bay,MN 55323-0066 Permit Fee <br /> `�$Eggp4� Notes: <br /> This a,pplication form must be completetl in_full. Applicant will_be notified within 15 days as to the status ofthe <br /> application. Incomplete applications will not be placed on Planning Commission Agendas. <br /> Job Site Address: 3 3_Sc� -(-�,c .S'7-i2Fc�. UYLO w10 , I�A� 5 535(0 <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: � <br /> Phone: 952- Fax: SZ- US <br /> Address: f���o M��n� f�n�a /v . City:/7�a�l,,ivti-'� Z�P� SS3�/ <br /> Contact Person: vE �,(,,,th,r;,-�,cy Contact's phone n r �2. -¢�¢ . S7/,3 <br /> Email ,��� 5�.�;�E�. ,�,oa,/,,,��,«,�pplicant is: Contractor Homeowner (Circle One) <br /> '7J� <br /> PROPERTY OWNER INFORMATION: <br /> Name: ��n`Y ����S . <br /> Phone(day): (2/Z• 70/ • (o��'S <br /> Mailing Address: ���b �'„x ,St,.�..-fi, r�r o n o M rU Z�P: .i S 3.5� <br /> Email and/or Fax <br /> Overall Project Description: �i4���Roo�i �� L�it AG LC SSD/�f ���rvlL�i.�/'� <br /> Check Box TYPE OF CONDITIONAL USE PERMIT Ap 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 /> .�— <br /> Check Box OTHER LAND USE APPLICATIONS A lication Fee Escrow <br /> Ap eal of Administrative Decision $100 NA <br /> Commercial Site Plan Review $700* $10,000(minimum) <br /> Com rehensive Plan Amendment $700 NA <br /> Easement/Ri ht-of-Wa RO Vacation,with Subdivision $200* NA <br /> Easement/Ri ht-of Wa RO 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 H 12 Corridor Onl –Residential $700+$40 er dwellin unit $10,000(minimum) <br /> PUD Rezonin H 12 Corridor Onl –Commercial/Industrial $200/acre minimum$875 $10,000(minimum) <br /> "plus,Enginee�ing:8�Le_gaI Review Costs <br /> • CUP&Other Land Use Applications <br /> Updated: January 31,2012 <br /> -13- <br /> . :,i. <br />