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City of Orono <br /> Zoning Permit Application <br /> USAIV Address. Permit number. <br /> PO Scut as Data received; <br /> Crystal Bay, MN 55323-0006 <br /> Escrow#and <br /> Street Address: amount: <br /> 2750 KaAcy Parkway Permit Fee; y� <br /> Orono,MN S 11.r>0.- <br /> 1� <br /> App*M by: AACI <br /> Fax: 952449..4616 ` I Nptes <br /> Mein; 952-249-4S00 m us 0/�c GO lsc9 irt� iw�r <br /> This application form must be completed in full and all required information must <br /> be Ubm fitted.(Reese pCint.) <br /> Job Site Address: 1195 ori wc, <br /> CONTRACTOR 1 AP U ANT RSIFORWATION <br /> Name: e alb-es <br /> Phone: - Pax; <br /> Address: Cit ; <br /> Contact Person; Z!P_ 55 <br /> Email Contact's phone rat <br /> Applicant is. ontracto Homeowner (chole o1w) <br /> PROPERTY OWNER INFORM riON; { <br /> Name; tote nci <br /> Phone(day). <br /> Mailing Address, ,Y <br /> Email and/or Fax ZIP <br /> Overall Praaject Description: 2� <br /> Check <br /> Box Dock, Commercial TYPE OF PERMIT COST* <br /> eering review costs <br /> row far erosion control And en <br /> bineerin $50*engin <br /> review costs $2,000 <br /> Dock, Residential-�Permanent do"on any hike or initial seasonal nock not $50 t engineering review costs <br /> on rake Minnetonka(permanent dock requires CUP _ <br /> Hgrdcover PwMit: Driveway,Patio,$idew+ralk, Etc.(Now r ReplacOymnt) No chase <br /> Also requires Is a Minor or Major <br /> Land Aitaeratlonl,Major(grading,filling, or excavating}more 500 cubic yards <br /> La Atterxhon Permit <br /> it <br /> more than 10 cubic yards In lakeshore setback(2lso requires CUP) <br /> Escrow for erasion control and an ineed"Irg review costs As determined b CUP <br /> Land Alteration,Minor(grading,fi ling or excavating)-500 or I8e9 cubic $50+engineering review casts <br /> yards outsidae of IaKeSnore seto&ok or IeS$than 10 yyards in Iskeshore setback <br /> Escrow for erosion control and en neasrtn review conte $2,000 <br /> Retaining Wall measuring y14ur K fofeet require a zoning permit, $50+engineering review coats <br /> Retaining walls rneasurl%more than four feet(from bottor„ of footings to top <br /> of weft)require a building permit (Trered retaining wells are considered one <br /> wall unless the walls arse separated by twice the helght of the lower wall.) <br /> Escrow for erosion control and engineeflng review costs $ SAO <br /> kStriirwatiy or Lifts to Loke(Naw or Replacement) � 'S0+engineering review costs <br /> for erosion control and en ineerin review Co $5 <br /> 9ts $ a0t1 <br /> Structure Permft for ether structures not requiring a building <br /> 'egulsted by the ronin code(Includin c permit;uil X50+engineering review co-3t$ <br /> 9 g, but rpt limited to acces5orr bsaildir;� <br /> or less than 120 square feet, detacheo deck or platform and sport count <br /> Escrow for erosion cont nt and engineering review costs <br /> Tree Removal or other t_ on removal rn 0 to 75 foot zone <br /> Tem oratr Construction Of}ic&7'railer assoc . <br /> iated with building <br /> arrrit 30ch8rr9. ation�urreo <br /> (over) <br /> 'Permit fee will be Collected when the permit is issukid. <br /> Updax9d: JanUary 2014 <br />