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� � City of Orono Zoning Permit A lication Mailing Address: Permit number: �` "' �Q�O PO Box 66 Crystal Bay, MN 55323-0066 Date received: ��I �O �5 Escrow#and Street Address: amount: 2750 Kelley Parkway permit Fee: y� ; Orono, MN 55356 �5 D G �'9kFSHp¢�' Fax: 952-249-4616 APProved by: Main: 952-249-4600 Notes: www.ci.orono.mn.us This apptication farm must be completed in full and all required information must be submitted. (Please print) Job Site Address: t,?t,S 6�c.., �a�{ c o�c � �, o� o h o , M�. rr�.r c CONTRACTOR/APPLICANT INFORMATION: Name: tara � �o�a., Phone: .t s o - s 8 2 - t r � 4 Fax: Address: t J t r �t�,..d Q.i c �o�t r.ti Ciry: o v a H o ZIP: s-;c-�s-� Contact Person: c 4 r c... �-+ o�h H ContacYs phone number a d _ Z - � Email ��o� ti.,�,, q � y� �ooApplicant is: Contractor omeowne �Circle One) te � PROPERTY OWNER INFORMATION: Name: c a , a y ,,f o �a.. Phone(day): �z o - 2 s s -- L r 7 9 Mailing Address: s� �r 6�v r ds,i t c o v< �n _ o �o H o w�N ZIP: s-r.�s` Email and/or Fax ��e ��,.. � �q �1a� q�/7 0 0. L o .,.� Overall Project Description: ,� � � �, �, , „�, ,,�,,Q„�, Check TYpE OF PERMIT Box COST* Dock,Commercial $50+engineering review costs Escrow for erosion control and en ineerin review costs $2,000 Dock, Residential-Permanent dock on any lake or initial seasonal dock not $50+engineering review costs on Lake Minnetonka ermanent dock re uires CUP Hardcover Permit: Driveway, Patio,Sidewalk,etc.(New or Replacementj No charge Also requires is a Minor or Major Land Alteration Permit Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards $50 or more than 10 cubic yards in lakeshore setback(also requires CUP) Escrow for erosion control and en ineerin review costs As determined b CUP Land Alteration,Minor(grading,filling or excavating)-500 or less cubic $50+engineering review costs yards outside of lakeshore setback or less than 10 yards in lakeshore setback Escrow for erosion control and en ineerin review costs $2,000 Retaining Wall measuring under four feet require a zoning permit. $50+engineering review costs Retaining walls measuring more than four feet(from bottom of footings to top � of wall) require a building permit. (Tiered retaining walls are considered one wall unless the walls are separated by twice the height of the lower wall.) Escrow for erosion control and en ineerin review costs $2,500 Stairway or Lifts to Lake(New or Replacement) $50+engineering review costs Escrow for erosion control and engineering review costs $2,000 Structure Permit for other structures not requiring a building permit but $50+engineering review costs regulated by the zoning code(including, but not limited to accessory building of less than 120 square feet, detached deck or platform and sport court) Escrow for erosion control and en ineerin review costs $2,500 Tree Removal or other ve etation removal in 0 to 75 foot zone No char e. Pre-ins ction re uired. Tem ora Construction O�ce/Trailer associated with buildin ermit $30 (over) *Permit fee will be collected when the permit is issued. Updated: January 2015