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<br /> City of Orono
<br /> Zoning Permit Ap lication
<br /> �O� Mailing Address:
<br /> Permit number: �d�3 ��
<br /> PO Box 66 Date received: /��3
<br /> � Crystal Bay, MN 55323-0066 Escrow#and �
<br /> Street Address: amount:
<br /> d �flo
<br /> y � 2750 Kelley Parkway Permit Fee: ��3 _� � �
<br /> �c. � Orono, MN 55356
<br /> ! �,�' Approved by:
<br /> �KESH�� Fax: 952-249-4616 Notes:
<br /> Main: 952-249-4600 "'"�`'"N�i °;or°rr'� u�
<br /> This application form must be completed in full and all required information must be submitted. (Please print.)
<br /> Job Site Address: ��� L^ C `>��-,��� ;..r��r��� (2�� �� � �� 1�• r��t, t�l �.!
<br /> CONTRACTOR/APPLICANT INFORMATION:
<br /> Name: ���1��L-�--N k-�-i,�� �� - ��� c�c�v�f�c='-t r �c �L:��t�
<br /> Phone: �, z � �L- �i 3 z ?, Fax: �-�� �-r-zc �� � �
<br /> Address: `} .-r�� C.eM-��1,'�.{ylc.� S�'(iz� - Cit : �_c-. izc.v iZ�� ZIP: �Lg �
<br /> Contact Person: `'�i -_� -�, ContacYs phone number rE: i Z cE a lt "��i z�2,
<br /> Email ��z��,L � �;;,,,c��j--t.�- S�,�-,v��;� ;�cr�t Applicant is: Contractor Homeowner (Circle One)
<br /> PROPERTY OWNER INFORMATION:
<br /> Name: ��}-rZ�� i�i �ir-� v�
<br /> Phone (day): ��Z �,Z w �1��-i
<br /> Mailing Address: •Zl n o , a�•�wae-� fz.� nr+� �. �z.,,n�-C ZIP: ���� •„
<br /> Email and/or Fax �;z�v�-_ � C��v�r2�..�-1,�: - ����-�;t�- �+••�
<br /> Overall Project Description: �•,z,v;;v�,,a`f 1��V iNL:
<br /> Check TYPE OF PERMIT
<br /> Box COST*
<br /> Dock, Residential -Permanent dock on any lake or initial seasonal dock not on $50+engineering review costs
<br /> Lake Minnetonka ermanent dock re uires CUP
<br /> Dock, Commercial $50+engineering review costs
<br /> Escrow for erosion control and en ineerin review costs $2,000
<br /> � Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge
<br /> Also re uired is a Minor or Ma�or Land Alteration Permit
<br /> Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards or $50
<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 /> � Land Alteration, Minor(grading, filling or excavating)-500 or less cubic yards $50+engineering review costs
<br /> outside of lakeshore setback or less than 10 yards in lakeshore setback
<br /> Escrow for erosion control and en ineerin review costs $2,000 •
<br /> Retaining Wall measuring under four feet require a zoning permit. $50+ engineering review costs
<br /> Retaining walls measuring more than four feet (from bottom of footings to top of
<br /> wall) require a building permit. (Tiered retaining walls are considered one wall
<br /> unless the walls are separated by twice the height of the lower wall.)
<br /> Escrow for erosion control and en ineerin review costs $2,500
<br /> Stairway to Lake (New or Replacement) $50+enginePr��^ �- �
<br /> Escrow for erosion control and engineering review costs $�
<br /> Structure Permit for other structures not requiring a building permit but $5 �� �7i •' `�C/
<br /> regulated by the zoning code (including, but not limited to accessory building of Z- -�',] lv
<br /> less than 120 square feet, detached deck or platform and sport court)
<br /> Escrow for erosion control and en ineerin review costs $2,. �� ,^ r � C,��v y,��r
<br /> Tree Removal or other ve etation removal in 0 to 75 foot zone No� �k' �
<br /> Tem ora Construction Office/Trailer associated with buildin ermit $30
<br /> (over) '
<br /> *Permit fee will be collected v
<br /> Updated: November 30,2012
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