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City of Orono <br /> Zoning Permit Application <br /> Mailing Address: <br /> Permit number: <br /> PO Box 66 Date received: <br /> 0 Y V Crystal Bay, MN 55323-0066 <br /> � Q Escrow#and <br /> Street Address: amount: rV� <br /> 2750 Kelley Parkway Permit Fee: <br /> Orono, MN 55356 <br /> ��kESH0 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: ;1.12T wk Za.i-w, -a(vd , <br /> CONTRACTOR/APPLICANT INFORMA ION: <br /> Name: !�"-.r' C,;-nbt-&1/�/2tS._ C <br /> Phone: `I,S3. - A-71T s l I Fax: of - 4'73 -70b�? <br /> Address: p 1 City: ZIP: 57534k 1 <br /> Contact Person: Contact's phone number A--ks-- SI 1 <br /> Emailrico �OX4)nAit c�;� Applicant is: on racto Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: O-rr�no (vt r v, ��� _ L-c.c �P.��- J�tc.L'G �v,1 <br /> Phone(day): <br /> Mailing Address: -J D r ZIP: <br /> Email and/or Fax cc c. b <br /> Overall Project De cription: P �I nit 1� LA-,.j nN" gf aso h� <br /> Check TYPEF PERMIT <br /> Box OCOST* <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 re uired 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: December 30,2011 <br />