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� <br /> City of Orono <br /> - Zoning Permit Application <br /> � MailingAddress: Permitnumber: �D�`J�� L <br /> ��J�,, PO Box 66 Date received: Q` / <br /> �r Crystal Bay, MN 55323-0066 <br /> �. � � �� � p <br /> Escrow#and <br /> ����'����� �� � Street Address: amount: �� ��J't'C�� <br /> `� �, a�^� � � 2750 Kelley Parkway Permit Fee: � � � <br /> �� � p� Orono, MN 55356 <br /> ly '� Approved by: � <br /> kESH��' <br /> -- Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 �•ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> GENERAL INFORMATION: <br /> Job Site Address: �' . j' � - <br /> _ !1 f') � u��.�/o <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: -- ��,--a 4� ,' �_ '���c ► S��c�����,)� <br /> Phone: ` �� Fa�C. <br /> Address: City: ZI P: <br /> Contact Person: Contact's phone number <br /> Email Applicant is: ontractor� Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> i; <br /> Name: � � � ;��- ; rt� �; �- <br /> Phone (day): ' _ �' <br /> Mailing Address: (. `?� ���� ,� � - %�-: �, � � ' ZIP: '�� 3.' ' <br /> Email and/or Fax � �,� o x ' � `°, �' <br /> Overall Project Description: ��� ' / ' ' � <br /> � 5cur��s� /h< �l�,;�.1 1✓�c� G � .'l�i--�� �%u-�.�f✓� 5 � �e 1v�f�Giy� <br /> ,. � <br /> Check TYPE OF PERMIT <br /> Box COST* <br /> Dock, Residential — Permanent dock on any lake or initial seasonal dock not on $30 + engineering review costs <br /> Lake Minnetonka ermanent dock re uires CUP) <br /> Dock, Commercial $50+ engineering review costs <br /> Escrow for erosion control and en ineerin review costs $2,000 <br /> Driveway Permit(New or Replacement) No charge <br /> Also re uired is a Minor or Ma�or Land Alteration Permit - <br /> Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards or $30 <br /> more than 10 cubic yards in lakeshore setback (also requires CUP) <br /> Escrow for erosion control and engineerin review costs As determined b CUP <br /> Land Alteration, Minor(grading, filling or excavating) —500 or less cubic yards $50+ engineering review costs <br /> \ outside of lakeshore setback or less than 10 yards in lakeshore setback <br /> � � Escrow for erosion control and en ineerin review costs $2,000 <br /> Retaining Wall measuring under four feet require a zoning permit. $50+ engineering review costs <br /> Retaining walls measuring more than four feet(from bottom of footings to top of <br /> wall) require a building permit. (Tiered retaining walls are considered one wall <br /> unless the walls are separated by twice the height of the lower wall.) <br /> Escrow for erosion control and en ineerin review costs $2,500 <br /> Stairway to Lake (New or Replacement) $50+ engineering review costs <br /> Escrow for erosion control and engineering review costs $2,000 <br /> Structure Permit for other structures not requiring a building permit but $50+ engineering review costs <br /> regulated by the zoning code (including, but not limited to accessory building of <br /> less than 120 square feet, detached deck or platform and sport court) <br /> Escrow for erosion control and en ineerin review costs $2,500 <br /> Tree Removal or intensive ve etation removal in 0 to 75 foot zone No char e. <br /> (over) <br /> *Permit fee will be collected at <br /> the time the permit is issued. <br />