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City of Orono <br /> Zoning Permit Application <br /> O�j Malting Address: Permit number: 02( " Lsd9 1 <br /> • YO PO Box 66 Date received: <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> 2750 Kelley Parkway Permit Fee: <br /> 14S. G Ffr,t Orono, MN 55356 <br /> �e Approved by: <br /> 'tkfSHO1`� 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: 12 1 O W t I d h L'r (,^ <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: ra 5 be To <br /> Phone(day): (Q(2 — 59°I— 1+6Be <br /> Mailing Address: 12-7 a Wit 6Ctl Y -(- t .— j( Ovvvty (.ANI ZIP: 5536 <br /> Email and/or Fax );&tie _ c�t J v v3 Q ins -vvuu ( • C,NA <br /> Overall Project Description: -tri w, e cs / rt wtov�v„ deak +-Yr€s <br /> Check TYPE OF PERMIT <br /> Box COST* <br /> Dock, Commercial $50+ engineering review costs <br /> Escrow for erosion control and engineering review costs $2,000 <br /> Dock, Residential—Permanent dock on any lake or initial seasonal dock not $50 +engineering review costs <br /> on Lake Minnetonka (permanent dock requires CUP) <br /> Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge <br /> Also requires is a Minor or Major <br /> Land Alteration Permit <br /> Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards $50 <br /> or 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 $50+ engineering review costs <br /> yards 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 <br /> of wall)require a building permit. (Tiered retaining walls are considered one <br /> wall 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 or Lifts 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 <br /> of less than 120 square feet, detached deck or platform and sport court) <br /> Escrow for erosion control and engineering review costs $2,500 <br /> V Tree Removal or other vegetation removal in 0 to 75 foot zone No charge. Pre-inspection required. <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: January 2014 <br />