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City of Orono <br /> Zoning Permit Application <br /> �Oj VO Mailing Address: <br /> Permit number: a0! <br /> PO Box 66 Date received: <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> 2750 Kelley Parkway Permit Fee: <br /> S� Orono, MN 55356 <br /> Approved by: <br /> gkFS H�4� 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 ail required information must be submitted. (Please print.) <br /> Job Site Address: ,2 q,5- L`!jnKet A L,4� (Jgow )Va✓rL 56-315-C <br /> CONTRACTOR/�. LICANT INFORMATION: <br /> ._- ___ <br /> Name: � rr�n - ", �f3 P t4L-A )_T_ 6- <br /> Phone: a5,;k__ !f 7 3 --CICO`S 3 Fax: <br /> Address: , City: ORO,-Le-) ' <br /> Contact Person: 6,'ek. �,� .i3,�.�r►� Contact's phone number Cel( C L2 --3;n -- '7a_9_J" <br /> Email e;r -rt; ,,ryyr-Applicant is: ContractorH� om—eowner (circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: R:;iCk) q—Phone (day): I-ir';up Q �` - 4`73 /ZQu' 1',;L 61 2 — -30 - -7 -q — <br /> Mailing Address: ZIP: <br /> �Emal'and/or Fax Cr I'+ -•�,�ck� Q „ r Cry y� <br /> Overall Project Description: 43"'t C), , iD JC C 1 5i I 4;�I- mn u),t r 4 alt <br /> Check PERMIT <br /> Box TYPE OF COST* <br /> Dock, Residential-Permanent dock on any lake or initial seasonal dock not on $50 +engineering review costs <br /> Lake Minnetonka (permanent dock requires CUP <br /> Dock, Commercial $50+engineering review costs <br /> Escrow for erosion control and engineering review costs $2,000 <br /> Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge <br /> Also required 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 /> 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 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 /> �7 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 />