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� � <br /> , City of Orono <br /> . • <br /> ! Zoning Permit Application <br /> Mailing Address: Permit number: �l Jr- b��f�� <br /> �Q�O PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: /� �� <br /> Escrow#and <br /> Street Address: amount: <br /> 2750 Kelley Parkway � <br /> y ; Orono, MN 55356 Permit Fee: <br /> F G <br /> `�kES}-►OR� Fax: 952-249-4616 Approved by: � �o-„r s <br /> Main: 952-249-4600 Notes: <br /> www.ci orono.rnn.us <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: 1��� S�j � � - � � <br /> � � �;�� ,� C�ra,� �'"1/1/ 55.s�t <br /> CONTRACTOR I APPLICANT IN O MATION: <br /> Name: � <br /> Phone: - Fax: <br /> Address: 2 Cit : �y,� ZIP: ,,5' : y <br /> Contact Person: ContacYs phone number d12-Z 2-�/„�� <br /> Email �r���y������ �f /Applicant is: Contractor Homeowner (Circle One) <br /> `c�� c.om <br /> PROPERTY OWNER NFORMA ION: <br /> Name: <br /> Phone (day): - � - <br /> Mailing Address: � ZIP: $ <br /> Email and/or Fax rn K <br /> Overall Project Description: �' l ' /,� �ol- <br /> �� <br /> Check TypE OF PERMIT <br /> Box COST* <br /> Dock, Commercial $50+ engineering review costs <br /> Escrow for erosion control and engineerin 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 permanent dock requires 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 engineering 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 engineering 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 height of the lower wall.) <br /> Escrow for erosion control and engineering 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 engineering review costs $2,500 <br /> Tree Removal or other ve etation removal in 0 to 75 foot zone No char e. Pre-inspection required. <br /> Temporary Construction Office/Trailer(associated with building permit) $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: January 2015 <br />