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City of Orono <br /> Zoning Permit Application� Mailing Address: Permit number: o /3 91 <br /> 1•O` VT PO Box 66 Date received: //-1 'J- J 7 <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> y 2750 Kelley Parkway Permit Fee: 5o <br /> Gti Orono, MN 55356 <br /> Approved by: �(�-- <br /> 7xEs H O0 Fax: 952-249-4616 Notes: . '_ u <br /> Main: 952-249-4600 www•ci.orono.mn.us acs' ��'� �' �� <br /> 4,,‘",•1\ k...P4f3• 1.%) <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: 900 Oayz 4 Slyd. W. <br /> CONTRACTO•41 Lir:1MMFORMATION: <br /> Name: 11Wayzala- CoA 4 C1,tib <br /> Phone: 9507- 1175- c175,S3 Fax: 95a- 1175-97y8 <br /> Address: p?OD GJkrza#a 8/vc/ %J. City: L.J y -a. ZIP: 5539/ <br /> Contact Person: Ch 0.5 Gerard; Contact's phone number 450?-1175-9753 <br /> Email C:I gerarcl i®t,i rzc4„..ec,Corn Applicant is: Contractor mieowne?j (circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: Same aS ANA;caeri- <br /> Phone (day): <br /> Mailing Address: ZIP: <br /> Email and/or Fax <br /> Overall Project Description: } ;,) Garden Cores idt.c\'iort on Dole #q <br /> Check TYPE OF PERMIT <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 /> V 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 />