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City of Orono <br /> Zoning Permit Application <br /> Mailing Address: <br /> Permit number: °30/a ' d 360:7 <br /> ek0 �I�O PO Box 66 Date received: "",'� Z. <br /> '`V Crystal Bay, MN 55323-0066 Escrow#and <br /> StreetAddress: amount: 2012,--005(08' <br /> li� r�� 2750 Kelley Parkway Permit Fee: <br /> i,.a;14 Orono, MN 55356 <br /> 44A,11100' Approved by: <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: J7 'X)) (A)es-1- 'r�) 61e) R& �V� r ` r 555(041 <br /> CONTRACTOR/AP LICANTJ�gO M TION: <br /> Name: d, <br /> Phone: Z ciC?AS Fax: <br /> Address: , � City©vb r ZIP:S53 1 <br /> Contact Person: *7.0),-\ Contact's phone number <br /> Email Yy1l„uses .,S f gatyytApplicant is: Contractor Homeowner (circle one) <br /> PROPERTY OW FORMAT <br /> Name: cy v\ ' rN`S <br /> Phone (day): <br /> Mailing Address: ZIP: <br /> Email and/or Fax <br /> Overall Project Description: y$ of ay L <br /> Check TYPE OF PERMIT COST* <br /> Box <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 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 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 /> (over) <br /> *Permit fee will be collected at <br /> the time the permit is issued. <br /> Updated: April 23, 2012 <br />