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� � City of Orono <br /> � Zoning Perrnit A�aplication <br /> � `, �vlailing Address: Permit number: �0� �l� <br /> �v�O PO Box 66 Date received: r� '7�1� <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: �� Na /IkOi <br /> y �, 2750 Kelley Parkway� Permit Fee: S�,� O <br /> � <br /> ��G� Orono, MN 55356 �i <br /> �� ,�� Approved by: <br /> KFSH� Fax: 952-249-4616 ,1i� Notes: �,� �r (��Q� <br /> Main: 952-249-4600 • •� ��� <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: � � �� ���C U '1� p '+�� ��-- <br /> CONTRACTOR 1 APP�ICANT INFORMATION: , <br /> Name: ��t.V�L'/✓ �-�.:,�.-�'�� <br /> Phone: \ - �7 Fax: <br /> Address: r'J,j�,� � �W i� �,r. City: (`�,�-pv�n ZIP: �j � � <br /> Contact Person: ContacYs phone number <br /> Email ,y� ` � t, pplicant is: Contractor eowne�" ( ircle One) <br /> PROPERTY OWNER FORMATION: .. <br /> Name: �N1 ► /'l <br /> Phone (day): ( - <br /> Mailing Address: �� , U✓y ZIP: — <br /> Email and/or Fax 1` (,�✓. L� - rD-C-Ur''1 <br /> Overall Project Description: i G�. - ti� � � I � �.�t <br /> �BoXk TYPE OF PERMIT COST* <br /> Dock, Commercial $50+ engineering review costs <br /> Escrow for erosion control and en ineerin review costs $2,000 <br /> Dock, Residential - Permanent dock on any lake or initial seasonal dock not $50 + engineering review costs <br /> on Lake Minnetonka ermanent dock re uires CUP <br /> Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge <br /> Also requires is a Minor or Major <br /> Land Alteration Permit <br /> Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards $50 <br /> or 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 $50+ engineering review costs <br /> yards 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 <br /> of wall)require a building permit. (Tiered retaining walls are considered one <br /> wall unless the walls are separated by twice the heigh#�f the low�r wall.) <br /> Escrow for erosion control and en ineerin review costs $2,500 <br /> Stairway or Lifts 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 <br /> of less than 120 square feet, detached deck or platform and sport court) <br /> Escrow for erosion control and en ineerin review costs $�"-,a@6-' Nd GM�o► <br /> Tree Removal or other ve etation removal in 0 to 75 foot zone No char e. Pre-inspectio required. <br /> Tem orar Construction Office/Trailer associated with buildin permit $30 <br /> (over) <br /> *Permit fee will be collected when the permit is is� <br /> Updated: January 2014 <br />