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, <br /> City of Orono <br /> Zoning Permit Application <br /> �O,t O Mailing Address: Permit number. O� NV-0-653 5 <br /> 1�/ PO Box 66 Dale received: 4'—aZ /V <br /> Crystal Bay,MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: .).11/ <br /> co <br /> .42750 Kelley Parkway Permit Fee: <br /> �� Gi~ Orono,MN 55356 <br /> ��kFS K Qat wed by: <br /> Fax: 952-249-4616 Nolen: <br /> Main: 952-249-4600 Www,ci.orono.mn.us <br /> This'appllcation'forrn,riust be ctilnpleted in full arsd ail required inforthauon must be.submittod. (Pleaserplint.) <br /> Job Site Address: WIN DJ'A-M1hER LANE.. $S 4--g120 <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: `f"WiN PEES 1=/-RTt WoRkS <br /> Phone: 6!2-aal - it 5LI 6 Fax: 7,6 3- E 56-5- 3a <br /> Address: a7 3$S - I/IF ST, City:7 CM n S ZIP: 55-39 g <br /> Contact Person: "Th i?TAhi SA-ND_y _ Contact's phone number 6/ _-D:AL- 4,5 46 <br /> Email -rp akeT Woes; S E 2b Applicant is: Contractor orneowner (circle ono) <br /> TEL M Er <br /> PROPERTY OWNER INFORMATION: <br /> Name: ,r)4-it) - l4-N/11)E_ 0--(-6--'11 <br /> Phone(day): y S 2 — L/1 Z -- 3 3 9 W <br /> Mailing Address: sq, p (,v* t.Lp n..m k-' / ,ti • ZIP: <br /> Email and/or Fax J S u H; b.1(i i 4 (C.) ha 1--h1a'i/ .. L v i rt <br /> Overall Project Description: vtltNDaA-MM ER. LA-NE 11--i t/„ 1--e, ,c-tet.-1 Sc,,✓es' <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 550+engineering review costs <br /> Escrow for erosion control and engineering review costs $2,000 <br /> 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 /> / <br /> outside of iakeshore 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. 550+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 welts 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 S2,000 <br /> Structure Permit for other structures not requiring a building permit but S50+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 />