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, , <br /> . City of Orono <br /> Zoning Permit A lication <br /> Mailing Address: Permit number: ��--���� � C�'�S� 7 <br /> -�Q�O PO Box 66 � � _ � , c <br /> Crystal Bay, MN 55323-0066 Date received: r _�= � �--? <br /> Escrow#and <br /> Street Address: amount: <br /> � � 2750 Kelley Parkway <br /> y ; Orono, MN 55356 Permit Fee: <br /> F <br /> !q F,�' Approved by: <br /> kfs H O� Fax: 952-249-4616 <br /> Main: 952-249-4600 Notes: <br /> www.ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. (P se t.) <br /> Job Site Address: '` l� J �"1�-'�t �� �(� 'p:'' <br /> CONTRACTOR/APPLICANT INFORMATION: ���J <br /> Name: � %',J <br /> Phone: Fax: / <br /> Address: Cit : ZIP: <br /> Contact Person: Contact's phone number � '' <br /> Email Applicant is: Contra t rv%' /Homeowner �c�►�ie o�e> <br /> ,- <br /> ,:, <br /> PROPERTY OWNER INFORMATION: �L� ,/ <br /> Name: <br /> Phone(day): � a - Sj '" <br /> �- <br /> Mailing Address: Q $ �D r �� ZIP: ,S$,�� ( <br /> Email and/or Fax �g��l � 39!'oc. � e�'a: ,u�t <br /> Overall Project Description: ��-(�j�,� '�'��j�,��p�(� �l�oad pj�c��U� d� ('�L�U�I J ��Z.QSIdx <br /> „ ,. <br /> Check TYPE OF PERMIT�'' <br /> Box COST* <br /> Dock, Commercial / $50+engineering review costs <br /> Escrow for erosion control and en ineerin 'review costs $2,000 <br /> Dock, Residential—Permanent dock on , ny lake or initial seasonal dock not $50+ engineering review costs <br /> on Lake Minnetonka ermanent dock quires CUP <br /> Hardcover Permit: Driveway, Patio Sidewalk, etc. (New or Replacement) No charge <br /> Also requires is a Minor or Major <br /> Land Alteration Permit <br /> Land Alteration, Major(gradir�,�;filling, or excavating) more 500 cubic yards $50 <br /> or more than 10 cubic yards i�'lakeshore setback(also requires CUP) <br /> Escrow for erosion control d en ineerin review costs As determined b CUP ' <br /> XLand Alteration, Minor ading, filling or excavating)—500 or less cubic $50+ engineering review costs <br /> yards outside of lakesh e setback or less than 10 yards in lakeshore setback <br /> Escrow for erosion c trol and en ineerin review costs $2,000 <br /> Retaining Wall me uring under four feet require a zoning permit. $50+ engineering review costs <br /> Retaining walls m suring more than four feet(from bottom of footings to top <br /> of wall) require uilding permit. (Tiered retaining walls are considered one <br /> wall unless the alls are separated by twice the height of the lower wall.) <br /> Escrow for e sion control and en ineerin review costs $2,500 <br /> Stairway o ifts to Lake(New or Replacement) $50+engineering review costs <br /> Escrow f erosion control and engineering review costs $2,000 <br /> Structur Permit for other structures not requiring a building permit but $50+engineering review costs <br /> regulat by the zoning code (including, but not limited to accessory building <br /> of 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 other ve etation removal in 0 to 75 foot zone No char e. Pre-inspection required. <br /> Tem ora Construction Office/Trailer associated with buildin ermit $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: January 2015 <br />