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� City of Orono <br /> ' Zoning Permit Application <br /> Mailing Address: <br /> Permit number: <br /> �O�O PO Box 66 Date received: �-} 2-�j��- <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Sfreet Address: amount: <br /> � �„ 2750 Kelley Parkway Permit Fee: � <br /> � Orono, MN 55356 <br /> �� L � Approved by: <br /> �kFs H��� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 WWW�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: p�Q�p� Q� ���1�j`E-�. (�`��(�O, 1► I �J �� <br /> CONTRACTOR/APPLICANT INFORMATION: Glw <br /> Name: 'r :ri: v�. <br /> Phone: 'Z— �'✓• �� ( Fax: Z— • <br /> Address: Z�4 �o D . 1� Cit :O r� Y1 d ZI P: <br /> Contact Person: ContacYs phone number <br /> Email -�.�•���y�/�n,p�.C�y.� Applicant is: Contractor Homeowner �c���ia o�e� <br /> PROPERTY OWNER INFORMATION: <br /> Name: ` i �C'�� <br /> Phone (day): <br /> Mailing Address: �"� J 0 • CJ��'v�r►'a ZIP: <br /> Email and/or Fax • h� ' � O <br /> Overall Project Description: ' Y' �, <br /> CBoxk TYPE OF PERMIT' COST* <br /> Dock, Residential—Permanent dock on any fake 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 erosi�n control and engineerin 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 Pe;mit <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 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 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 ineering 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 />