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City of Orono
<br /> Zoning Permit Application'/
<br /> � T Mailing Address.' Permit number. o2D/L —d 0 g 5.3
<br /> sLo V PO Box 66 Date received: O '7- y
<br /> Crystal Bay, MN 55323-0066
<br /> Escrow#and ( � �cye J A
<br /> Street Address. amount: w I�Cf�IL
<br /> y ,, 2750 Kelley Parkway Permit Fee:
<br /> � Orono, MN 55356
<br /> 'OIL
<br /> �G Approved by:
<br /> gkESH�� 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 A/ h), floi, 1 L fruit- 44,f, 55 J
<br /> CONTRACTOR I APPLICANT INFORMATION:
<br /> Name: -n%3-c_ L ,S kt tie-.r-
<br /> Phone. 611-PtL-tqs 1/ Fax.
<br /> Address: City: ZIP:
<br /> Goiltact Parson. Contacts phone number
<br /> Email Applicant is: Contractor Homeowner (circle one)
<br /> PROPERTY OWNE&NFORMATION:
<br /> Name: 1 _-e_4,1 L-.c s1 <--
<br /> Phone(day). (,7(a- Fci c ,Pi S 3.
<br /> Mailing Address: //z 5 N iv/ii„z.- /3„..c._. L cif Lw% ,,vtA.I ZIP: 553.5 p,
<br /> Email and/or Fax 01zri:s4.i0 A K•,-,,.,. E-' 9 ;.r/, cv -
<br /> Overall Project Description: bfa fy) ex%3 t;%,y 7,„,i,,-/' d',..,be ,,,._./
<br /> Check TYPE OF PERMIT COSTBox
<br /> '`
<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 /> I Also requires is a Minor or Major
<br /> Land Alteration Permit
<br /> Land Alteration, Major(grading,filling, or excavating)more 500 cubic yards $50 I
<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 /> v.,-_ Land Alteration, Minor(grading,filling or excavating)-500 or less cubic $50+engineering review costs
<br /> :„ yards o ll�tside 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 /> 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
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