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� City of Orono <br /> Zoning Permit Ap lication <br /> • Permit number: �D/a - DO�S'1 <br /> Mailing Address: <br /> .d,�J��. PO Box 66 Date received: 7-/�- �Z <br /> 0� ��' Crystal Bay, MN 55323-0066 <br /> 0 Escrow#and <br /> Street Address: amount: <br /> 2750 Kelley Parkway Permit Fee: <br /> ��� / �G�� Orono, MN 55356 <br /> �.tf�Kp�¢ APProved by: <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 /> Job Site Address: � uQ� S���..�t f� ��� <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: � -�S� <br /> Phone: 2b`S- m�s- Fax: -� '� <br /> Address: ' S' �tsC�t ST- Cit : � IP: S"'�o'? <br /> Contact Person: ContacYs phone _ '?�,'� ,. 22�. ���or <br /> Email �,g�����„�„p�,�,�, Ce.M Applicant i Contractor �omeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> IVame: '�-c,��,1, ��c--r C1��� . <br /> Phone(day): <br /> Mailing Address: 2t�; SF��=.,_;� 4�;�.,��c� Z�p. <br /> Email and/or Fax <br /> Overall Project Description: <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 /> Driveway Permit(New o lacement No charge <br /> Also re uired is a Minor or Ma'or Lan eration 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+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: April 23,2012 <br />