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�- ��� � <br /> �I�O <br /> � City of Orono �� <br /> � <br /> ~ Zoning Permit Application <br /> MailingAddress: Permitnumber: a0/D-�(o r7 (� <br /> �v�,�\ PO Box 66 <br /> � .�;;.;,�„ 0 <br /> Crystal Bay, MN 55323-0066 Date received: � �j J � <br /> a � s, StreetAddress: Escrowamount: D0,00 aO►p-DD � <br /> ,� ,�;t";, <br /> � ���Gti�' 2750 Kelley Parkway Permit Fee: � ^T�Q _ <br /> �9kEsxo4`' Orono, MN 55356 <br /> Received by: � <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. /ease print.) <br /> GENERAL INFORMATION: <br /> Job Site Address: �D�a Cou n-!`'u ��� � , DI'bno� m� ,Su�3.� <br /> CONTRACTOR/APPLICANT INFORMATION:I <br /> Name: S��* Cou+^f <br /> Phone: Fax: <br /> Address: ,� E� C i v' �� Cit : �.� �� �lll-C, ZIP:S�, , r) <br /> Contact Person: �i��in � a.,�- ContacYs phone number �'oZ- 7S/� - tfS�/,� <br /> Email Kevi� a� s�z✓f'ec�rf��„�, Applicant is: Contractor Homeowner (Circle One) <br /> �o m <br /> PROPERTY OWNER INFORMATION: <br /> Name: C�rr'r p� y�e�- karcl� <br /> Phone (day): ��a.- a8a- 43c� <br /> Mailing Address: �U a ¢ o�( G pro r,o r? ZI P: $' <br /> Email and/or Fax �hy�;� � � �j n , �Jr-�,-� <br /> Overall Project Description: <br /> Z�o/ 1� �{4 ' s��- Qo�✓�- � Y� tQXI CQ. <br /> Check TYPE OF PERMIT COST <br /> Box <br /> Residential Dock- Permanent dock on any lake or initial seasonal dock not on $30 +engineering review <br /> Lake Minnetonka ermanent dock re uires CUP costs <br /> Commercial Dock $50+ engineering review <br /> costs <br /> Escrow for erosion control and engineerin review costs $2,000 <br /> Minor Land Alteration (grading, filling or excavating)-500 or less cubic yards $50+ engineering review <br /> outside of lakeshore setback or less than 10 yards in lakeshore setback costs <br /> Escrow for erosion control and en ineerin review costs $2,000 <br /> Major Land Alteration (grading, filling, or excavating) more 500 cubic yards or $30 <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 /> Stairway to Lake $50+ engineering review <br /> costs <br /> Escrow for erosion control and en ineering review costs $2,000 <br /> Retaining Wall not requiring a building permit (A building permit is required for any $50+engineering review <br /> retaining wall that measures more than four feet from bottom of footings to top of costs <br /> wall. Tiered retaining walls are considered one wall unless the walls are separated <br /> by twice the height of the lower wall.) <br /> Escrow for erosion control and en ineerin review costs $2,500 <br /> Tree Removal or intensive vegetation removal in 0 to 75 foot zone No char e. <br /> Structure Permit for other structures not requiring a building permit but regulated $50+engineering review <br /> � by the zoning code (including, but not limited to accessory building of less than 120 costs <br /> square feet, detached deck or platform and sport court) <br /> Escrow for erosion control and engineering review costs $2,500 <br /> (over) <br />