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: � <br /> � .. <br /> � � ��{� O� O�O�O PC Exhibit A <br /> Y <br /> Land Use & Cond itional Use Perm it . <br /> � , Application <br /> . Street Address: Application# � �'— • 7j(�(' � <br /> �O/� rO 2750 Kelley Parkway � <br /> 1 / Date Received: `3 <br /> � Orono,MN 55356 <br /> . Staff: <br /> Main: 952-249-4600 � <br /> fax: 952-249-4616 Fee: �I (�� <br /> ,a Mailing Address: Escrow#&$ . <br /> �� � P.O.Box 66 <br /> G~ Crystal Bay,MN 55323-0066 Permit Fee <br /> t�kBSH��� Notes: � � <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: %�/y�/ ..�h�o!����� �� •�-�-� <br /> CONTRACTOR/APPLICANT INFORMATION: , , <br /> Name: L�l� �� a,.-�• ��. ���' C��� <br /> Phone: Ei.�- ann'�/Bo� c 6/a �'�','R�'7`3 Fax: 6i�� �o o - 177� . <br /> Address: /� �� s'F` s� #�/t� � City: ��/� ZIP: 5`S-yv� <br /> Contact Person: ,, ,, .,� � Contact's phone number _ �%�- 6'6j� �� <br /> _ _.._. <br /> Email �„k,_.k„i�•w t�� �°�s� . ��s� Applicant is: Contractor �""Homeowner (Circle One) <br /> . , ��....� . <br /> PROPERTY OW ER INFORMATION: � ; ' <br /> . Name: G.�p ..w,,��s �.-��w-n-S - CC C— <br /> Phone(day): �'��- '� - .�n.� <br /> Mailing Address: � .3� 3z t✓,,�-� s �-,�✓ ZIP: �'`".5 3�� <br /> Email and/or Fax ��� K,r; ,n,•:., � - • <br /> Overall Project Description: �,,,�� ' Cuf� �t' rn�•,-,.,•, f� `������������a���� �= � cl�� �-�7���'s <br /> Check Box ` LAND USE APPLICATIONS A lication Fee Escrow <br /> A eal of Administrative Decision $50 NA <br /> Commercial Site Plan Review $700* $10,000(minimum) <br /> Com rehensive Plan Amendment $700* $700 <br /> � Easement/Ri ht-of Wa ROW Vacation,without Subdivision $700" $700 <br /> PID 5 acre minimum er code $200/acre minimum$1,000* $10,000(minimum) <br /> PUD Rezoning H 12 Corridor Onl —Residential $700+$40 er dwellin unit* $10,000(minimum) <br /> PUD Rezoning H 12 Corridor Onl —Commercial/Industrial $200/acre minimum$875 * �10,000(minimum) <br /> RPUD or PRD,without Subdivision $50/dwellin minimum$600 <br /> Zoning Amendments includin Rezonin $700* $700 <br /> Check Box CONDITIONAL USE PERMIT(CUP) A plication Fee ' Escrow <br /> After-the-Fact CUP Double Fee • <br /> x Amend Existing CUP $700"' N/A <br /> Commercial/lndustrial 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 /> Institutional—Type: $700* $700 <br /> Renewal of CUP, IF no change to ori inal lan $350 NA <br /> Residential Accesso Use—T e: $700* $700 <br /> APR � g ���� *plus, Engineering&Legal Review Costs <br /> . C!�OF ORONO � <br /> Packet Last Updated: 03/29/93 • � <br /> Page 12 of 29 <br />