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City of Orono * �7 <br /> Zoning Permit Application <br /> �T Mailing Address: Permit number: <br /> PO Box 66 Date received: <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> y2750 Kelley Parkway Permit Fee: <br /> F Orono, MN 55356 <br /> Approved by: <br /> �kFSIiO�� 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: 2 Y S 'TAN/CA )q VE OectVla, 1,n/u <br /> CONTRACTOAPPLICANT INFORMATION: <br /> Name: \ <br /> Phone: — ZZ^7 3-- Fax: oP -1- '7' — Y q <br /> Address: 4��h /�) , W,`I logo Cit :4on� La a ZIP: :5'5 3� <br /> Contact Person: _�Q /� Contact's phone number <br /> Email N�ur�'c,i�2 rc�nb r� QHS©� Applicant is: Contractor Homeowner Circle One) <br /> PROPERTY OWNER INFOP"" �J <br /> Name: �- K -r ioL i.,u dL0VLVLb1& <br /> Phone (day): C <br /> Mailing Addres,, ZIP: '3S� <br /> Email and/or Fa; /1 <br /> Overall Project I nl ,v 3 r u <br /> Check <br /> Box RMIT COST* <br /> Dock, Res 'ake or initial seasonal dock not on $50+ engineering review costs <br /> Lake Minns %,UP <br /> Dock, Comr $50+engineering review costs <br /> Escrow fort ..,,, and engineering review costs $2,000 <br /> x Hardcover Pa _ac Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge <br /> Also re uired is a Minor or Major 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 engineering review costs As determined by CUP <br /> XLand 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 engineering 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 engineering review costs $2,500 <br /> Tree Removal or other vegetation removal in 0 to 75 foot zone No char e. <br /> Temporary Construction Office/Trailer associated with building permit) $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: November 30,2012 <br />