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f City of Orono <br /> , . <br /> ' Zoning Permit Appiication <br /> MailingAddress: Permitnumber: oZ��o� -D// 7� <br /> �Q_J�,. PO Box 66 Date received: �l- �S -�� <br /> `r \ Crystal Bay, MN 55323-0066 <br /> Q �� Q\ Escrow#and <br /> � ��'��- � �� StreetAddress: amount: <br /> � �; �� � 2750 Kelley Parkway Permit Fee: <br /> �c� � � ;'���' . � Orono, MN 55356 <br /> '�y � Y1�" '��' Approved by: <br /> �'ESH��' Fax: 952-249-4616 <br /> Notes: <br /> Main: 952-249-4600 '_=� ��-�r�.rnn �_,; <br /> This application form must be completed in full and all required information must be submitted. (P/ease print.) <br /> Job Site Address: ��'`1'Z St��--�-� i���:� <br /> CONTRACTOR/APPLICANT INFORMATION: - I <br /> Name: ____ -- ��v�1,-� �.J�}�--��=�S t 4,�, <br /> Phone: C�"3-- Z � � Fax: <br /> Address: � ` s' r� ��-; Cit : �I,K..0 �.,I ZIP: �Z�'� <br /> Contact Person: 'j?�?-t�e..,i�v'> ContacYs phone number -- Z2�,.,� '- c, --. <br /> Email [�����fZ��.►Ji�'�6jcrt,.;� '� Applicantis: ontract� Homeowner (CircleOne) <br /> PROPERTY OWNER INFORMATION: <br /> Name: S"R��(� ���'"�� - <br /> Phone (day): �pL"Z• "1(��-{ . '�-5� ( <br /> Mailing Address: -� ZIP: <br /> Email and/or Fax <br /> Overall Project Description: �����'�-'� �'yl.c��l ���'�( <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 permanent dock requires CUP <br /> Dock, Commercial $50+ engineering review costs <br /> Escrow for erosion control and en ineering review costs $2,000 <br /> Driveway Permit (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 engineering 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+ engineering review costs <br /> Escrow for erosion control and engineering review costs $2,000 <br /> Structure Permit for other structures not requiring a building permit but $50+ engineering review costs <br /> regulated by the zoning code (including, but not limited to accessory building of <br /> 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. <br /> (over) <br /> *Permit fee will be collected at <br /> the time the permit is issued. <br /> Updated: December 30,2011 <br />