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City of Orono <br /> Zoning Permit Application <br /> Mailing Address: <br /> Permit number: <br /> O JI PO Box 66 Date received: <br /> V Crystal Bay, MN 55323-0066 <br /> 0 � 0 Escrow#and <br /> Street Address: amount: <br /> ti 2750 Kelley Parkway Permit Fee: ev <br /> p� Orono, MN 55356 <br /> t9kE3H�¢� Approved by: <br /> 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 /> r <br /> Job Site Address: �D f'.S �, O �0 /,/L-/ 12 <br /> NCO <br /> Nme RACTOR/A�P�� AINMFATI <br /> L <br /> Phone: ? - —c C, Fax: <br /> Address: 19� �e -2SZ. City: &)ILS ZIP: - <br /> Contact Person: Contact's phone number <br /> Email aV *Z I.L} i j l2JC % „ Xpplicant is: Contractor Homeowner (Circle One) <br /> C;wagt1c( ,�Lk) taf,zkeapej . ne.f <br /> PROPERTY OWNER INFORMATION: <br /> Name-. J< �J Cl(- &22 13 e—Fe <br /> Phone (day): <br /> Mailing Address: j03 l-Aj Ccs ZIP: <br /> Email and/or Fax <br /> Overall Project Description: <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 $50+ engineering review costs <br /> Escrow for erosion control and engineering review costs $2,000 <br /> jc Driveway Permit (New or Replacement) No charge <br /> Also re uired 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 /> j 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: April 23, 2012 <br />