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� City of Orono <br /> ;! 1 <br /> : Zoning Permit A lication <br /> O Mailing Address: <br /> Permit number: �3-ob 3S <br /> g- � PO Box 66 Date received: " �� " 3 <br /> � Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> � ,a. 2750 Kelley Parkway Permit Fee: <br /> ti Orono, MN 55356 <br /> �l �' Approved by: <br /> �kESH�4� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 �•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: �� �,g��� g�� <br /> CONTRACTOR I APPLICANT INFORMATION: <br /> Name: (�►��sc� C.e.�m"C►c�iJi', I 1.�� <br /> Phone: �iSZ-9F���Dl9 I Fax: �fiL 9'3S' �12,� . <br /> Address: S i2'3 �'�,s-Crn«t (2�t,b City: ;��,r� ZI P: SS'?LlS <br /> Contact Person: �3��t,, [�S�MUy,��so1�1 ContacYs phone number 612 SOB �iff�Ll <br /> Email �g��,�,d�L��S ty,�,�c��� o ,ci��„�iW� Applicant is: ontrac Homeowner (Clrcle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: ��,�5� � Tnnn r`'�-�rv►���� <br /> Phone (day): q�—c�—o��/ <br /> Mailing Address: �pp �� S Bd� 4Z,oLi+D c'�v2niab Z�P: S'SLf� <br /> Email and/or Fax �F��rv��,v�23 e C-�r�d 1L.�e� <br /> Overall Project Description: -pd-�������,o��,p��� (q���Y MA�L'�'��,�`� � AP�f3e� <br /> Check TYpE OF PERMIT COST* <br /> Box <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 /> Hardcover 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 /> 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 /> 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 />