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City of Orono <br /> Zoning Permit A plication <br /> O Mailrng Address: <br /> Permit number: A�� � -6d y5� <br /> � �O PO Box 66 Date received: �-/�"� <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and n ,� <br /> Street Address: ' amount: �V <br /> � >, 2750 Kelley Parkwa Permit Fee: <br /> S'�. � Orono, MN 55356 <br /> � �' � Approved by: <br /> 9kf S H��� Fax: 952-249-4616�\0�\�� �� Notes: <br /> Main: 952-249-4600 WW`^'�ci.orono.mn.us �y��' �1: <br /> 1.�' '�' <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: ��`� J��w� 1 V/� <br /> CONTRACTOR I APP ICANT I FO MATIO • <br /> Name: ��*�` �i { <br /> Phone: S - '�. Fax: <br /> Address: " '(3b ��7 Cit : ( ZIP: ��_ _ <br /> Contact Person: , �ntacYs phone n�mber <br /> Email � , , Y�pplicant�: Contractor� Homeowner (Circle One) <br /> ..____�__..__� <br /> PROPERTY OWNER I�F��OR ATIO : � C�� <br /> Name: <br /> Phone(day): -3 ' ► <br /> Mailing Address:� -�� � ZIP: <br /> Email and/or Fax <br /> Overall Project Description: (���� �� �'� ,C� ���^ <br /> Check TYPE OF PERMIT <br /> Box COST* <br /> Dock, Residential-Permano^' -' ' not on $50+engineering review costs <br /> Lake Minnetonka � <br /> Dock, Commercial ��� $50+engineering review costs <br /> Escrow for erosion � $2,000 <br /> ` Hardcover Permit: C �nt) No charge <br /> - Iso re uired is a Min ��, � �/ � �. `�'= <br /> Land Alteration, Maj� � �7• � �,l � ���� � ds or $50 <br /> more than 10 cubic ya �,1' +� � <br /> Escrow for erosion co As determined b CUP <br /> � Land Alteration, Minc �1/� 3rds $50+engineering review costs <br /> outside of lakeshore se ��'�� /11 I��J <br /> Escrow for erosion co� ` r�u $2,000 <br /> Retaining Wall measui � $50+engineering review costs <br /> Retaining walls rYieasuri �of <br /> wall)require a building K II <br /> unless the walls are sep: <br /> Escrow for erosion conti $2,500 <br /> Stairway to Lake(New� $50+engineering review costs <br /> Escrow for erosion contr� $2,000 <br /> Structure Permit for oth .,,,,��n�g permit but $50+engineering review costs <br /> regulated by�the zoning cc _ �,,,,.��umg,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 /> Tem ora Construction Office/Trailer associated with buildin ermit $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: November 30,2012 <br />