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City of Orono <br /> Zoning Permit Application <br /> Mailing Address: Permit number: <br /> U PO Box 66 Date received: <br /> O O Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: (;17 <br /> 2750 Kelley Parkway Permit Fee. 4:50 �100 <br /> Orono, MN 55356 <br /> gw Approved by: <br /> `�kESHo Fax: 952-249-4616 <br /> 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: _1Z13 <br /> CONTRACTOR/APPLIC N ,INF LMATI N: <br /> Name: <br /> Phone: - 0_r,44qFax: q`•Z,d --Z, 5 ' <br /> Address: 'rCity: ) ZIP: ` <br /> Contact�erson: r Contact's phone number <br /> Email x•',,t6N([►(t Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER I F TI N: <br /> Name: <br /> Phone(day): c r <br /> Mailing Address: r- M, 1jAZIP: <br /> Email and/or FaxcIiAAJ <br /> Overall Project Description: film ?W 144"M4r <br /> Check <br /> Box TYPE OF PERMIT COST ` <br /> * <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 /> Driveway Permit(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 /> 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 I No charge. <br /> (over) <br /> *Permit fee will be collected at <br /> the time the permit is issued. <br /> Updated: April 23,2012 <br />