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� � .. - City of Orono 'I�►� i( <br /> Zoning Permit Application <br /> Mailing Address: <br /> Permit number: ��l-"��(o� <br /> �Q J�,, PO Box 66 Date received: 7 � �� <br /> `r Crystal Bay, MN 55323-0066 <br /> Q � Escrow#and "1 <br /> fi�?:� ' Street Address: amount: � 7/� �'�`� '�°'�Y`����� ����- ' <br /> � ` ;��> � I 2750 Kelley Parkway Permit Fee: � �� � <br /> � � p Orono, MN 55356 � . <br /> t�kESHO�'� Approved by: q �.�: <br /> Fax: 952-249-4616 Notes: � <br /> Main: 952-249-4600 �•ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> GENERAL INFORMATION: <br /> Job Site Address: �2.5l0 57il�t,��,�/od <br /> CONTRACTOR/APPLICANT IN�ORMATIO • <br /> Name: 6 �j✓�i✓�,y� � YLG • <br /> Phone: - `?S- l"L Fax: - S'� /�(p <br /> Address: n Cif : ZIP: 3� <br /> Contact Person: ContacYs phone z..- 6 �,,� <br /> Email � � Q,y(,{.t G�p�plicant is: 'Contractor Homeowner (Circle One) <br /> �._ <br /> PROPERTY OWNER INFORMATION: <br /> Name: /'re��'" P2. ��2i <br /> Phone (day): e�.- � <br /> Mailing Address: 3 y�.2 Oho ZIP: s-3 <br /> Email and/or Fax <br /> Overall Project Description: �Gc✓ �� v�,wet,.�, �k�n/6�,,,� A,y�� t�awo� �51�-Or2 �t�T�e� <br /> !�1 olti^C. IZ'ML�t-I • <br /> Check TYPE OF PERMIT <br /> Box COST* <br /> Dock, Residential- Permanent dock on any lake or initial seasonal dock not on $30 + engineering review costs <br /> Lake Minnetonka ermanent dock requires CUP <br /> Dock, Commercial $50+ engineering review costs <br /> Escrow for erosion control and en ineerin 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 $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 /> xLand 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 intensive 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 />