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-f <br /> � - Ci of Oron G°'�►��� <br /> .�. � ° 5 � � <br /> � . . . � ;�`-�" <br /> Zoning Perm�t A plication (`� <br /> Mailing Address: Permit number: Ol —� 7 <br /> O�Q PO Box 66 <br /> �O Crystal Bay, MN 55323-0066 Date received: ,� O� oZ�/ <br /> Escrow amount: N <br /> Street Address: <br /> `� � � 2750 Kelley Parkway Permit Fee: <br /> ��x o¢�G�F Orono, MN 55356 Approved by: � 5^, �. ' I <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: � (,,��17� � ���IJ <br /> CONTRACTOR/APPL AN INF ATION: � <br /> Name: ��L f.! L��� �� <br /> Phone: - - Z Fax: - - <br /> Address: Cit : ZIP: <br /> Contact Person: �(�� /��j __ Contact's phone numbe �/��Z�-Z�L,� <br /> Email Applicant is: Contractor Homeowner �ci�ie o�e� �- <br /> PROPERTY OWNER INFO,'2MA ION: <br /> Name: /V! C. � <br /> Phone (day): - - Z� <br /> Mailing Address: � ZIP: <br /> Email and/or Fax <br /> Overall Project Description: i` S <br /> Check TYpE OF PERMIT COST <br /> Box <br /> Residential Dock-Permanent dock on any lake or initial seasonal dock not on $30 +engineering review <br /> Lake Minnetonka ermanent dock re uires CUP costs <br /> Commercial Dock $50+engineering review <br /> costs <br /> Escrow for erosion control and en ineerin review costs $2,000 <br /> Minor Land Alteration (grading, filling or excavating)-500 or less cubic yards $50+engineering review <br /> outside of lakeshore setback or less than 10 yards in lakeshore setback costs <br /> Escrow for erosion control and en ineerin review costs $2,000 <br /> Major Land Alteration (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 en ineerin review costs As determined b CUP <br /> Stairway to Lake $50+engineering review <br /> costs <br /> Escrow for erosion control and en ineerin review costs $2,000 <br /> Retaining Wall not requiring a building permit(A building permit is required for any $50+engineering review <br /> retaining wall that measures more than four feet from bottom of footings to top of costs <br /> wall. Tiered retaining walls are considered one wall unless the walls are separated <br /> by twice the height of the lower wall.) <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 /> Structure Permit for other structures not requiring a building permit but regulated $50+ <br /> by the zoning code(including, but not limited to accessory building of less than 120 sests- <br /> square feet, detached deck or platForm and sport court) � <br /> Escrow for erosion control and en ineerin review costs �2, <br /> (over) �� vp � �/,p,,� <br /> / Ci L(/� <br /> -� �,V <br />