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, <br /> City of Orono <br /> Zoning Permit Application <br /> �Oj V Mailing Address: <br /> Permit number: <br /> PO Box 66 Date received: <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> IL <br /> Street Address: amount: <br /> y 2750 Kelley Parkway Permit Fee: <br /> Orono, MN 55356 <br /> �f �' Approved by: <br /> 4&FSH00' Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 — . = - `-------i- <br /> This <br /> --_This application form must be completed``�� in full and all required information must be submitted. (Please print.) <br /> • <br /> Job Site Address: ' V IDI ver-h c) piac e � b Z b1 z, s-6-3 -1' <br /> CONTRACTOR/APPLICANT INFORMATION: c" <br /> Name: I I �/y�,URlL nig-sail <br /> Phone: Fax: <br /> Address: City: ZIP: <br /> Contact Person: Mark D r5 On Contact's phone . •••-r 7(0i^ ':4() '' 4011-‘7 <br /> Email Applicant is: Contractor Homeowner (circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: U15 kf 0-) <br /> Phone (day): Cor _- ( '(Q - 4431 <br /> Mailing Address: j?' O n I?I? Rocf4yze.. ZIP: S�3S1, <br /> Email and/or Fax <br /> Overall Project Description: bri 3aef ThS174 I 1 <br /> Check TYPE OF PERMIT COST* <br /> Box <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 /> leering review costs $2,000 <br /> Sidewalk, Etc. (New or Replacement) No charge <br /> ' _ 1 Alteration Permit <br /> Ig, or excavating) more 500 cubic yards or $50 <br /> I O ?setback (also requires CUP) <br /> eering review costs As determined by CUP <br /> ig or excavating)—500 or less cubic yards $50+engineering review costs <br /> han 10 yards in lakeshore setback <br /> () I ),_ y -35 - DOI / leering review costs $2,000 <br /> •feet require a zoning permit. $50+engineering review costs <br /> four feet (from bottom of footings to top of <br /> d retaining walls are considered one wall <br /> ;e the height of the lower wall.) <br /> eering review costs $2,500 <br /> lent) $50+engineering review costs <br /> eering review costs $2,000 <br /> not requiring a building permit but $50+engineering review costs <br /> ig, but not limited to accessory building of <br /> leck 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 />