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City of Orono <br /> Zoning Permit Application <br /> Mailing Address: Permit number: —00 <br /> .Q,0 11 PO Box 66 Date received: — — <br /> O O Crystal Bay,MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> 2750 Kelley Parkway Permit Fee: <br /> Orono,MN 55356 <br /> r9kESH0 Approved by: R - 14 -2.o/Z <br /> 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: 2,075 WAVi AJI SAW aCAQ <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: byjol ,(- <br /> Phone: Fax: <br /> Address: City: ZIP: <br /> Contact Person: Contact's phone number <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFOR ATION: <br /> Name: <br /> Phone(day): <br /> Mailing Address: 0 " ZIP: <br /> Email and/or Fax petw-S-04 r <br /> Overall Project Descript of �NAISLIQ aR IMMA1112 AhID Rtef) <br /> CBozk TYPE OF PERMIT 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 /> 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 engineer�ing 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 <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 /> Eeview easts $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 />