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•. <br /> City of Orono <br /> Zoning Permit Application <br /> Mailing Address: Permit number: a�I� -� Q s <br /> �� PO Box 66 Date received: ��' � <br /> �� Crystal Bay, MN 55323-0066 <br /> Escrow#and r%''��� r�•�.�W <br /> Street Address: amount: � <br /> y � 2750 Kelley Parkway Permit Fee: � — �`j.��gZ,'� <br /> G� Orono, MN 55356 <br /> `c� � Approved by: �� <br /> qkFSH�� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 `^�`M^��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: �IJ�Qb Sl 1C1 Y 1 I '�► � 1 `� <br /> CONTRACTOR/APPLICANT INFORM TION: <br /> Name: �e- i e. <br /> Phone: 1Q t L-Sq - (a Op3 Fax: q 52 -�73-SCS77 X L'a5 <br /> Address: City: ZIP: <br /> Contact Person: ContacYs phone number <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: firi�i l'l C�MAf�„�1 <br /> Phone (day): lZ- — Op3 <br /> Mailing Address: Z6(p.o SiK'f'�'► F1'V'�- ZIP: 5 <br /> Email and/or Fax '1'hC. � IOWe- (W Qb�• pW� <br /> Overall Project Description IMt,1110r10.� �lQ,Y(��'1 '�- C.O�I(YVIbQYi UN� <br /> CBaXk 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 /> XHardcover 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 /> Xwall) 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 />