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' ° � cit of Orono ' o ,$ C�� <br /> y � � <br /> Zoning Permit Application <br /> MailingAddress: Permit number: o2U�U -D07J'� <br /> O�,�,�.0 � PO Box 66 ( <br /> � Crystal Bay, MN 55323-0066 Date received: 7ii 1 l� <br /> a � T?�' �, Street Address: Escrow amount: L�� <br /> ;�,:_ <br /> �'.�, ° '�� Gti``' 2750 Kelley Parkway Permit Fee: j. � <br /> l9kE$HOg'�' Orono, MN 55356 � <br /> -_= Received by: � <br /> Main: 952-249-4 00 Fax. 952-249-4616 wnvw.ci.orono.mn.us �� <br /> This application form must be completed in full and all required information must be submitted. (Please print.) ,�-�j <br /> GENERAL INFORMATION: / �D <br /> Job Site Address: � � c�� � �-1�����n�� ���� <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: _TY,���� L <br /> Phone: -�- �Z� __ i Fax: <br /> Address: t soO d �p!�.q�o�- �-t-(�t� Ci : . �b�. ZIP: -�'�- 3 Z- <br /> Contact Person: ContacYs phone number �"j y—��p — <br /> Email �C Lr4�R�-Sc�.,l � TNT�(-��Nf�t�E Applicant is�ontractor ❑ Homeowner (CircleOne) <br /> v C-E'�M- <br /> PROPERTY OWNER INFORMATION: c� ,�-�. < <br /> Name: ��--�r�V�Ak- `� C`�� I�L,1 �. � ���t U'�^ �F--- �IK�.iE <br /> Phone(day): ��� �'Z_— P� �'a n -- C���, ���s�4� <br /> Mailing Address: ZIP: <br /> Email andbr Fax _� � � �_;�^�� �,v`_���=�� i -:�� � <br /> Overall Project Description: <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 Alt "' " �s cubic yards $50+ engineering review <br /> outside of lakes ��t-�rti"� ,etback costs <br /> Escrow for ero �� ��,� ` ��'�l� ��� $2,000 <br /> Major Land Alt� fi ��� � cubic yards or $30 <br /> � more than 10 c� P) <br /> Escrow for ero� `�� � �; As determined b CUP <br /> Stairway to LaM ;� � $50+ engineering review <br /> ❑ G G✓ <br /> COStS <br /> Escrow for eros $2,000 <br /> Retaining Wall �`rr^� '!`J ,�-k=� is required for any $50+ engineering review <br /> retaining wall th� � �1�+ �otings to top of costs <br /> wall. Tiered ret� alls are separated <br /> by twice the heic �� �l�-- <br /> Escrow for eros LJ Y� �� � �� ' $2,500 <br /> Tree Removal c � :one No char e. <br /> Structure Perm %^ � mit but regulated $50+ engineering review <br /> ❑ by the zoning co ��1���L/� , g of less than 120 costs <br /> square feet, det� Y ��� <br /> Escrow for erosi $2,500 <br /> (over) <br />