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City of Orono <br /> Zoning Permit Application 2 <br /> Mailing Address: <br /> Permit number: <br /> PO Box 66 Date received: 5 <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> 2750 Kelley Parkway Permit Fee: <br /> Orono, MN 55356 <br /> Approved by: <br /> kFS H OFax: 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 requi'r'ed information must be submitted. (Please print.) <br /> Job Site Address: - ��°`�Cr '� �a�.:� ��a - ��7� p �✓ ���� ,, 11 t 1� 55 J <br /> CONTRACTOR/APPLICrj INFORMATION: <br /> Name: ✓"n <br /> Phone: T Fax: <br /> Address: City: ZIP: <br /> Contact Person: Contact's phone number L- Z <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> Wo- <br /> PROPERTY OWNER INFORMATION: <br /> Name: AAckof3on <br /> Phone (day)-. g(,g- 5 0 r?r? <br /> Mailing Address: .3KSv w4f ZIP: SS 2 5� <br /> Email and/or Fax kr,s to 7-,V hOn,v .I , loM <br /> Overall Project Description: <br /> Check TYPE OF PERMIT COSTBox * <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 /> X 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 No charge. <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 />