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' � <br /> PC Exhibit A <br /> L � . . � . _ . . . . , . <br />. City of Orono <br /> .� <br /> � �Conditional Use Permit �ar <br /> O#her Land U�se Permit Application <br /> Street Address: ` � y <br /> 2750 Kelley Parkway Appllcation# Z" 50 <br /> �i�.� Orono,MN 55356 Date Received +?1� L 4 Y <br /> �'I � Main: 952-249�1600 Staff � �� �� � <br /> fax: 952-249-4616 Fee � (`�;�_ �."r ;�� �' <br /> ,� � Mailing Address: Escrow#&�$ <br /> �$.� �4 P.O.Box 66 ' ' <br /> G~ Crystal Bay,MN 55323-0066 Permit Fee� <br /> ��kESH�4'� Notes � ` <br /> .:u. �� <br /> '�.�.��—.,..,•r�^.� �. +�+p-.�a�.�,,..+�,���..,.."�."I!eT+r*.e.,..-..��...+.,,+�,�,....+�....- .: -el^".1M7S�4'aM1 <br /> This appl�icafion;form fiust be_cornp�;eted iii`ful(,�Applicant wiU:be nofifi_ed wifliin_15Wday_s as°to the�status�:,�ofthe <br /> application Incomplete applications will not be laced on Planning Commission Agendas. <br /> Job Site Address: �I ! ��rn�Q/�� /�(X,v� <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: <br /> Phone: Fax: <br /> Address: City: ZI P: <br /> Contact Person: Contact's phone number <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION:��rY �(/Y� /..� ' <br /> Name: /'1'� I�v <br /> Phone(day): L� ��� • <br /> Mailing Address: ZIP: <br /> Email and/or Fax �' . S M • �D�'�'l, <br /> Overall Project Description: <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 /> 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 /> RECEIVED . �Plus;;Engineering &'Legal Rev�ew,Go`sts <br /> CUP 8�Other Land Use Applications <br /> Updated: January 31,2012 (�� 1''] <br /> tJ1.Q— ( ( ��� � r <br /> � � <br /> CITY OF OR�Np <br />