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. City of Orono <br /> Zoning Permit Application <br /> �-- Mailing Address: Permit number: o?O!Q '��(i <br /> O�„O,j�.O Po Box ss 7 30 /D <br /> Crystal Bay, MN 55323-0066 Date received: <br /> a s, Street Address: Escrow amount: ��� <br /> �' vti`5' 2750 Kelley Parkway Permit Fee: �� <br /> � <br /> rR�x� Orono, MN 55356 <br /> Received by: <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us <br /> This application form must be completed in fu�l and all required information must be submitted. (Please print.) <br /> GENERAL INFORMATION: 1 9,� � Sh a C�yl�i/vUG� ��1 <br /> Job Site Address: <br /> CONTRACTOR!APPLI NT INFORMATIOpI� \ <br /> Name: ��G-� �c �`'���� <br /> Phone: 6 1 Z-2`i-C� - � Fax: <br /> Address: � 7 SS S - �-,e� - "� Cit : C� �r�c'� ZIP: �-r5 3 `// <br /> Contact Person: >����� _ r ContacYs phone number <br /> Email ��rQ,� »y�p, ,���,��,/,,,X Applicant is:�Contractor Homeow[1e� �ctrc►eone) <br /> �n t� ---- <br /> PROPERTY OWNER INFORMATION: -� <br /> Name: � 1��<y.�� ��' �� �-r;S <br /> Phone(day): ��Z . �y,� - y Z - <br /> Mailing Address: �j ? �, ;;���Q ' �� ZIP: ,553 y/ <br /> Email and/or Fax ,b;.�,,,, 17���.��,. � ,ti,� � ,��.- <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 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+engineering review <br /> ❑ by the zoning code (including, but not limited to accessory building of less than 120 costs <br /> square feet, detached deck or platform and sport court) <br /> Escrow for erosion control and en ineerin review costs $2,500 <br /> (over) <br />