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City of Orono <br /> Zoning Permit Application <br /> Mailing Address: <br /> Permit number: 0/ -o/45,5 <br /> PO <br /> Crystal ox 66 ate received:Bay,MN 55323-0066 2 <br /> Escrow#and SO pd <br /> Street Address: amount: u J <br /> 2750 Kelley Parkway Permit Fee: r2-0% Orono, MN 55356 <br /> 114 Approved by: <br /> �ktSHO�� 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: .52,v_ �� `• 63o 1 O"kawA Rol Ororw AW 1-535(Z� <br /> CONTRACTOR/APPL CANT INFORMATION: _ <br /> Name: <br /> Phone: z -yy - ! Fax: <br /> Address: 19'$ S City: Pr:,O-L ekt- ZIP: 5 t5,3'72 <br /> Contact Person Icks /'Ainsaiq Contact's phone numb 6!Z- 202-2252 <br /> Email Applicant is: Contractor Homeowner (circle one) <br /> PROPERTY OWNER INFORMAT�IIQqN_: , <br /> Name: �e 1�TTV\a Vy&*1i A <br /> Phone(day): <br /> Mailing Address: ZIP: <br /> Email and/or Fax <br /> Overall Project Description: m - w2 ydgrYA <br /> Check TYPE OF PERMIT <br /> Box COST* <br /> Dock,Commercial $50+engineering review costs <br /> Escrow for erosion control and engineering 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 (permanent dock requires 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 engineering review costs As determined by CUP <br /> Land Alteration, 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 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 <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 engineering 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 engineering review costs $2,500 <br /> Tree Removal or other vegetation removal in 0 to 75 foot zone No charge. Pre-inspection required. <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: January 2014 <br />