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r . City of Orono <br />� Zoning Permit Application <br /> Mailing Address: Permit number: <br /> g.-0� PO Box 66 Date received: (j� S� �l aj <br /> � Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: /�� <br /> y y, 2750 Kelley Parkway Permit Fee: <br /> G` Orono, MN 55356 � � q <br /> �� Approved by: <br /> �kESH�R� Fax: 952-249-4616 Notes: ,�. @ 5������ <br /> Main: 952-249-4600 `^�W 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: IYyR S�/'�l,:�e D�• ��art0 �?JiV .SS.�( <br /> CONTRACTOR/APPL'IC#KIT•FNFORMATION: � • <br /> Name: �/'Q,t,/5 �.�k+�Sa✓� <br /> Phone: Fax: <br /> Address: Cit : ZIP: <br /> Contact Person: (' Contact's phone number (, �- $Z <br /> Email �y�,s ` ��a,�,;.� Cory Applicant is: Contractor omeow (Circle One) <br /> PROPERTY OWNER INFORM ION: ,�v�" <br /> Name: � � �cr'' <br /> Phone (day): /z- <br /> Mailing Address: 3Z� ZIP: <br /> Email and/or Fax ����(��,'n� Co,.••� <br /> Overall Project Description: <br /> �BoXk TYPE OF PERMIT 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 /> Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (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 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 /> 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 />