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. Twin Cities Dental 612-782-7005 p.2 <br /> �� City of Orono <br /> Zoning Permi� A pli��tion <br /> � MailingAddress: Permitnumber: �,b/ -. D���� <br /> PO Box 66 aate received: �a "-� �'�� <br /> � � Crystal Bay, ti1N 55323-0066 <br /> � Escrow#and <br /> � � StreetAddress: amount <br /> y s. 2750 Kelley Parkway Permit Fee: <br /> G� Orono, PJ!N 55356 <br /> `�� Approved by: <br /> 9'�ESHo�� Fax: 952-249-4616 Notes: I <br /> Main: 952-249�600 - - � � � <br /> This appfication form must be completed in full and aEl required infQrmation must be submitted. (Please prir�f.J <br /> JobSiteAddress: �q�� SnbY�(�h� QY• QYD}� 0 <br /> CONTF2AC70RJAPPLICAI�T.IPiFORMP TION: <br /> Name: /Y! �i 0� F�E-hYPS�j. <br /> Pho�e: Fax: 2 0 <br /> Address: j .r c� �� .�,� Ln. N• Cit : U (rr3� ZiP: � <br /> Contact Person: � Contact's phone num6er � D� <br /> Email � ,f'o,�v� Applicant is: Contraetor Ho�meo_wn^r (Ckcle One) <br /> PROP�RTY OWNER INFORMATEOi�: <br /> Nzme: a� ��ht� <br /> Phone (day}; d0$" <br /> Mailing Address: 2 e.V� � �7 • N� � fa✓� ZIP: .� 3 t <br /> Email and/or Fax f 2 O <br /> Overall 4�roject Description: RP�m�✓i+►1�1 tiLlCk�l�arri a.`� S�►o r�?r►vl� <br /> �BaXk TYPE OF P£RMIT CO5T* <br /> �ock,Residential—Permanent dock on any lake or initial seasonal dock not on $50+engineering review costs <br /> Lake Minnetonlca ermanent dock re uires CUP <br /> IDock,Cammercial ! �50+engineering review costs <br /> i �scrow for erosion control and en ineerin review costs I $2 000 <br /> Hardcover Permit: Driveway, Patio, Sidewafk, Etc. (New or Re�}acement) N�charge <br /> Also re uired is a Minor or Ma'ar Land Alteration Pemzit <br /> Lanct Alteration,Major{grading,filiing,or excavating)more 50D cubic yards or �50 <br /> more than 10 cubic yards in lakeshore setback(also requires CUP) <br /> Escrow for erosion confrol and en ineerin review costs As determined b CU� <br /> Land Alteration,Minor(grading,filling or excavating)—500 or less cubic yards $50+engi�eering review costs <br /> outside of lakes�ore se#back or less than 10 yards in lakeshore setback <br /> Escrow for erosion control and en ineerin review cos:s $2,OOa <br /> Retaining Wall measuring under four feet require a zoning permi� �5o+engineering revie�v costs <br /> Retaining wal�s measuring mo�e than four feet(from bottom o#footings to top of <br /> wall)require a building permit. (Tiered retaining�aalls are considered one wall <br /> unless the walls are separated by twice the height af the lower wall.) <br /> Escrow for erosion control and en ineerin review costs $2,500 <br /> Stairway to Lake{New or Replacement) $50+engineering revie�rr costs <br /> Escrow for erosion control and engineering review costs 52,000 <br /> Structure Permit for other structures not requiring a building permit b��t 550+engineering review costs <br /> ; regulatsd by the zoning code(including, but not limited to accessory building of <br /> less than 120 square feet,detached deck or platfonn 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 foct zone 1Vo char e. <br /> Tem ora Construction OfficelTrailer associated wi:h buildin ermitl $30 <br /> (over) <br /> '`Permit fee wiil be collected when the permit is issued. <br /> Updated: November 30,2012 <br />