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co 1 <br /> , p- 50 — A o al <br /> City of Orono <br /> Zoning Permit Application(-- <br /> / <br /> „,., <br /> Mailing Address: ::::: <br /> QZ©/ 7Q� el 7O6 /�—7 <br /> Q Crystal Bay,MN 55323 0066 <br /> Escrow#and / <br /> Street Address: amount. <br /> �. 2750 Kelley Parkway Permit Fee: <br /> 1. L� Orono, MN 55356 <br /> lg kE S H DW� 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 /> Job Site Address: 1330 Cherry PI,Orono, MN 55347 <br /> CONTRACTOR I APPLICANT INFORMATION: <br /> Name: :A ( QSOi QA <br /> Phone: c32 Zeo b,104. Fax: <br /> Address: (�J Q (0 3 City: MJF (JUi4- ZIP: 5-5 • ?(a <br /> Contact Person: 2{ a (J'724 Contact's phone ,-r o _ V •Z ID <br /> Email 1n364J1C0L_Q4%)6E,GMkt&Applicant is: Con ractor omeowner (circle one) <br /> c.-0M <br /> PROPERTY OWNER INFORMATION: <br /> Name: Lin Yan and Amy Shi <br /> Phone(day): 651-428-0889 <br /> Mailing Address: 1330 Cherry PI,Orono,MN 55364 ZIP: 55364 <br /> Email and/or Fax Iyan@uswestfinancial.com,952-400-6889 <br /> Overall Project Description: AL_ G44 ptn) 6 t- eaxaSc 0 . erv-ra„oc.0 l,J 5,7-0-4-t_ <br /> CheckBox <br /> TYPE OF PERMIT 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 /> 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 /> 1 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 /> ___x_. 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 /> 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 />