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� City of Orono <br /> Zoning Permit Ap lication <br /> � Mailing Address: Permit number: o�D l a _ O (� 7 U <br /> �Q� PO Box 66 Date received: '�J -�O- � oZ_ <br /> O y O Crystal Bay, MN 55323-0066 <br /> Escrow#and ^� <br /> Street Address: amount: �( DO D Q� '� ia73 <br /> � �� �. o�d��- O O ! <br /> 2750 Kelley Parkway Permit Fee: �7 <br /> tiF <br /> Orono, MN 55356 <br /> �� , �. <br /> 'Z.y 4,�G Approved by: <br /> x�H� Fax: 952-249-4616 <br /> Notes: <br /> Main: 952-249-4600 W`N`^i.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: 7`�S SP2itiG /�i�� ,P D� .� <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: �i9 r����< /��9�v�LY � AJ'J'a c iA TE.J', i�vc. <br /> Phone: 9SZ - yy�-O/91 ��2 -.382-SSa6 Fax: <br /> Address: P. o, B oX 78y C�tY�EXcEcJiO•C ZIP: 5533� <br /> Contact Person: P,q.— �y,�„i,� y ContacYs phone number <br /> Email oh G�',oaf ea�;/,,a r1 oc, cd.vr Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> �� 0.9�/i0 Ek: cso�/ /�'4�VW� I�tl.sQ� <br /> '��-�17E- 7"� � <br /> � P�TRIC � U,�� ,���d Z�P: Ss.� g , <br /> P�ANNIn�� ;�S(+0 � ���I`■ ' �• COM <br /> MN DES��N � CoTE / iNG TO FL.�TTFit/ i1�✓ .1�FA FOR A J'dc C ER F/F<D . <br /> LICENSE ��NSTI��j��lj <br /> RESIDE�yr� ��5g N PERMIT COST* <br /> PH@PATHA�RE�'1opE � any fake or initial seasonal dock not on $50 + engineering review costs <br /> E0 HANILY.C� ASS�C.CpM LING Ulf@S CUP <br /> B�X 7g4 NTRACTp $50+ engineering review costs <br /> E I S�� � R eerin review costs $2,000 <br /> R MN 5533� PH�NE No char 2 <br /> FAk: 952�443- i@tlt� g <br /> Also re Uno.. . 952�4'43-p��92 d Alteration Permit <br /> Land Alteration, Major�y,.._ _ ng, 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 /> X 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 /> 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 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 /> (over) <br /> *Permit fee will be collected at <br /> the time the permit is issued. <br /> Updated: December 30,2011 <br />