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City of Orono <br /> Zoning Permit Application <br /> O�l Mailing Address: Permit number: ,�o�3—d�7 g o� <br /> g- j V PO Box 66 Date received: g_j o'Z—/ <br /> V Crystal Bay, MN 55323-0066 Escrow#and <br /> Street Address: amount: <br /> -A ,. 2750 Kelley Parkway Permit Fee: r <br /> y� Orono, MN 55356 ,5700. /0,03-6078 <br /> 5 0' <br /> C Approved by: <br /> 4kESH0�:c. Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 : __-___ <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: 147(2`- Lk)A7 clarow4 20 ; 0gc-40 3C-9 <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: DEQ PRCr-1.42_ <br /> Phone: 0/2 22,2 (ot2c2 Fax: <br /> Address: 4/705 i,J.4 zz si "2:3 City: 0,2_043 ZIP: 55351 <br /> Contact Person: j)CI?t& /fir'-CLdQL-- Contact's phone number iz .2 60:=)-2_0 <br /> Email Lam, y. OCn1I144e_ce,,�., Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: 4-it <br /> Phone (day): <br /> Mailing Address: ZIP: <br /> Email and/or Fax <br /> Overall Project Description: £ 4'CKEf./ Coop <br /> Check TYPE OFPERMIT <br /> Box 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 /> 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 /> 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 Wail 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 /> v/ 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 />