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, . �`d��.�Eti.��+�D <br /> City of Orono OCT 2 4 2014 <br /> Zoning Permit A lication <br /> �O� Mailing Address: <br /> Permit number: <br /> ao� oi ,_ ���-:����.. <br /> PO Box 66 Date received: /� "oZ.. — / <br /> 0 Crystal Bay,MN 55323-0066 <br /> Escrow#and i 9�� <br /> Street Address: amount: �V <br /> y ,a, 2750 Kelley Parkway Permit Fee: � <br /> �r. � Orono, MN 55356 <br /> `qkES H���G aPProved by: � <br /> Fax: 952-249-4616 Notes: i+ � <br /> Main: 952-249-4600 `�y�`�^'ci.ororo_mn_us • <br /> 1 <br /> This application form must be completed in full and all required information m�st�e sui�'1�d C1-easq�) l}� <br /> ✓� � � � � <br /> Job Site Address: �'j c�uc �� `i�;�c� /�.i ;�i�.� y ,�n .�S 3�(, <br /> CONTRACTOR/APPLICANT INFORMATION: ���/ <br /> Name: � �,cc �r��c� <br /> Phone: 3� 0� Fax: <br /> Address: �( �� ,S„����,�,,; Ciry: v f� ^ � ZIP: �:;�3 5 <br /> Contact Person: ContacYs phone number + <br /> Email J�-�u x���-� � •��x-�7�►���•�^QlApplicant is: Contractor Homeowner �c���ie o�e� <br /> PROPERTY OWNER INFORMATION: <br /> Name: J�1�r� �v�d IGc,\�c.-N l,��OcY-���e�c� <br /> Phone(day): � y 3 �i - 7!Q � <br /> Mailing Address: �i/y �S'ti Ga r co c �or7 s Cf.� ,�� ZIP• ,�S 3S(.� <br /> Email and/or Fax __ J��,.�c�c dhe< <'v ��c e,/a ba l • ef- <br /> Overall Project Description: _�,.e e �,,,,,, �„G/ dcac/ -yl�ec r�.�-,-►a�-�-/ <br /> Check TYpE OF PERMIT <br /> Box COST* <br /> Dock,Commercial $50+engineering review costs <br /> Escrow for erosion control and en ineerin review costs $2,000 <br /> Dock,Residential—Permanent dock on any lake or initial seasonal dock not $50+engineering review costs <br /> on Lake Minnetonka ermanent dock re uires CUP <br /> Hardcover Permit: Driveway, Patio,Sidewalk, Etc. (New or Replacement) No charge <br /> Also requires is a Minor or Major <br /> Land Alteration Permit <br /> Land Alteration,Major(grading,filling, or excavating)more 500 cubic yards $50 <br /> or 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 Alteratlon, Minor(grading,filling or excavating)—500 or less cubic $50+engineering review costs <br /> yards 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+engineeri�g review costs <br /> Retaining walls measuring more than four feet(from bottom of footings to top <br /> of wall)require a building permit. (Tiered retaining walls are considered one <br /> wall 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 or Lifts 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 <br /> of 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. Pre-ins ection re uired. <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: January 2014 <br />