Laserfiche WebLink
City of Orono <br /> Zoning Permit A lication <br /> O Mailing Address: (� I� `lI,� <br /> Permit number: �� �'�� �� <br /> PO Box 66 Date received: "` '" '�l� Vw` <br /> � 0 Crystal Bay, MN 55323-0066 <br /> Escrow#and h �,/�_ <br /> Street Address: amount: ���`"� <br /> � �, 2750 Kelley Parkway Permit Fee: `� -�'�� <br /> �'�c. : Orono, MN 55356 <br /> ! L Approved by: <br /> �kESH��� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 �`-J ��'` �-''�'-� ��� <br /> __ r Y <br /> This application form must be completed in full and all required information must be subm ed. (Please print) <br /> Job Site Address: `�j`}� ���'� ���1(�� (,9,��� <br /> CONTRACTOR/APPLICANT INFORMATION: r <br /> Name: 1 �� <br /> l.. <br /> Phone: -��'' �� - G�c�.?,�-r. Fax: <br /> Address: b ~ Ci : ZIP: <br /> Contact Person: ContacYs phone number <br /> Email (����pPp�i��eU�,C�CYe�(,,• Applicantis: Contractor Homeow�- �c��oieo�� <br /> � C�=1(Y1 <br /> PROPERTY OWNE INFORMAT ON: <br /> Name: � (,'�y'� es <br /> Phone(day): - - G <br /> Mailing Address: ZIP: " <br /> Email and/or Fax % " l G G <br /> Overall Project escription: ' - Z � � <br /> Check TYPE OF PERMIT ", <br /> Box <br /> Dock, Residential- Permanent dock on any lake or initia� n-- �sts <br /> Lake Minnetonka ermanent dock re uires ("'" <br /> Dock, Commercial �' ��� t ts <br /> Escrow for erosion control and en ineerinn r <br /> Hardcover Permit: DrivP�•-�•- ' `,�I�O <br /> �� a'_ <br /> Also rP����-- ' � ,�\� �. l <br /> Land . ,�,, ,Ac �w <br /> more t �O �l V v'�"� t.s � <br /> Escro� �In 1I,�,� /Y- L �'�/� <br /> , Land A � ��� �-t,�' ` �'� r� ��,a ' YYW�� � <br /> outside �?� r � �,�o �Q�" '� <br /> Escrow _ ��h � ,�nr^� ` �n � Q���,r�`" <br /> Retainir ��� � r� � , <br /> Retainin� q• ��(.� �.�"' <br /> wall) req� '' � <br /> unless th� ��� <br /> Escrow f� <br /> Stairway�� �� <br /> Escrow fo � <br /> Structure � � <br /> regulated b � <br /> less than 1� `"��TM� <br /> Escrow for ..,,y ��view co� <br /> Tree Remo� ,,. ,►egetation removal in 0 to 75 ..., e. <br /> Tem ora Construction OfficdTrailer associated w�,�_ .-�°�""° $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issueal. <br /> Updated: November 30,2012 <br />