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IL <br /> City of Orono <br /> Zoning Permit Application , t <br /> Mailing Address: <br /> O <br /> Permit number: do 13 -CO 3`t <br /> PO Box 66 Date received: 5 -13- 13 <br /> Crystal Bay, MN 55323-0066 Escrow#and <br /> Street Address: amount: <br /> 2750 Kelley Parkway Permit Fee: <br /> • Orono, MN 55356 <br /> �� L Approved by: <br /> i'ES H O Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 w` w.ci.orono.mn.us <br /> This application form mushbe completed in full and all <br /> required information must be submitted. (Please/ print.) <br /> Job Site Address: '�l e/ vUj1-DIf1il ' ! / /L- / 1-1 <br /> 6 cit/c, 4, 4, . CJG�� <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: <br /> Phone: Fax: <br /> Address: City: ZIP: <br /> Contact Person: Contact's phone number <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: 1-(l (' V'Cie 1 13-- 0iavi e- 6rLu <br /> Phone(day): 6,/ - �Z7: - 3b I LI <br /> Mailing Address: 1 () t, 1 t 7i-/u ': "T '7E'',L 1 c?�r4h2, I/A/ ZIP: 33- <br /> Email and/or Fax /a`lebre 1/7''1/ 4---jineZ/l• C 11/2-1 <br /> Overall Project Description: <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 /> t.--7 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 /> 1 /, 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 />