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... , - City of Orono <br /> Zoning Permit Application <br /> Mailing Address: Permit number: c2)0/3 — 4 -0C'. 'D <br /> Q J� . PO Box 66 Date received: /— 9- a o1� <br /> Y <br /> 0 Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> �< amount: �5�0 �7a� <br /> x Street Address: <br /> I pi `"' 56 �S 2750 Kelley Parkway Permit Fee: e e4 11ej L- §"qo' <br /> ter ,.) C) Orono, MN 55356 b <br /> �kESH04� Approved <br /> Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 ' ()".1.n_)_1"" ','i <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: CL- S&L 140/V (1'ii t- <br /> CONTRACTOR/APPLICANT INFORMATIDN: <br /> Name: Ls%(,Cl' VAR It)5-S / 61/4,LO Il.-1 . <br /> Phone: ,i'' 1 Fax: £j j7-z c - L`rz•Address: p/LZ.`/C <br /> ,4, 4X .�„ toc'_ City: LJ -,) ZIP• ,53` <br /> Contact Person: killy; iui,. L7K)71= Contact's phone num (Op -7y 0. <l S <br /> Email ('/ 60.0( l D31(.0 6J I ,(J 'I,,Applicant is: Contractor Homeowner (circle One) <br /> PROPERTY OWNER INFORMATION: l_ <br /> 1 <br /> C4Name: O,V c� 't Vv C i� `1 l,'.v�, <br /> Phone (day): ;i -1:t1 - 1-2-1.(p <br /> Mailing Address: (4 \, ; , i'IN) s e--- `'y;-• :'r--0 3. rol v"i ZIP: ",;".S--7›,:,i,,., <br /> Email and/or Fax c 1 ,; s z , <br /> Overall Project Description: ' <br /> Check TYPE <br /> Box OF PERMITCOST* <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: December 30,2011 <br />