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City of Orono <br /> Zoning Permit Application I <br /> • Mailing Address: Permit number: / 1 Lt <br /> Escrow <br /> 0 13( 0 <br /> ��� PO Box 66 Date received: ( I /(. I I -t <br /> 0 Crystal Bay, MN 55323-0066 P�,� ���;�V.:67,-_ �� <br /> Escrow#and f 3 <br /> Street Address: amount: `- bMh'( c� � ' lv'Oly /�/"I/� <br /> y 2750 Kelley Parkway Permit Fee: if 0 , <br /> Orono, MN 5556 fi' FI ��/9/JS <br /> • <br /> ' �, '/ Approved by: f <br /> Kf S H 0�' Fax: 952-249-4616 Notes: vvv <br /> Main: 952-249-4600 'AWN.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: /'4 7`o/VA'.4-r - JA0> _ <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: ek 67 /4,1-,Fs ` LLL <br /> Phone: m( Z • 8S-0 - -(O 2-- Fax: <br /> Address: 7y 6, `U 4.rg- -r¢ BLv,O C _ * ` tae City:r'tily hyt- ZIP: SS39' <br /> Contact Person: j2��c C,,q/2 i.eo<,J Contact's phone number 4,t 2 -c9JV - 6/'ctn.-- <br /> Email <br /> td z.Email pia, e 0,1te4 ofece -,44 iF. Applicant is: ceaFtFaCiitirmHomeowner (circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: A J,arz..g.,j i 144-- <br /> Phone <br /> LQPhone (day): 61.2-- r/ _ /D/ .-s--- <br /> Mailing Address: Jo(rc9 -reit 4 -cv,¢- / 0. o ZIP: _5-7-...55-4, <br /> Email and/or Fax b11-44•701/11--c- & tf/n/91L r C0/1-- <br /> Overall <br /> 1 -Overall Project Description: P,yv why co,irary-a-rla w. -i K-5 , Ls-,�i..'VD E /0,tl70 , <br /> Check TYPE OF PERMIT <br /> Box COST* <br /> Dock, Commercial $50+engineering review costs <br /> Escrow for erosion control and engineering review costs $2,000 <br /> Dock, Residential- Permanent dock on any lake or initial seasonal dock not $50 +engineering review costs <br /> on Lake Minnetonka (permanent dock requires CUP) <br /> Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge <br /> Also requires is a Minor or Major <br /> Land Alteration Permit <br /> Land Alteration, Major(grading,filling, or excavating) more 500 cubic yards $50 <br /> or 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 $50+ engineering review costs <br /> Xyards outside of lakeshore setback or less than 10 yards in lakeshore setback <br /> Escrow for erosion control and engineering review costs �$2;800-- <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 <br /> Aof wall) require a building permit. (Tiered retaining walls are considered one b i ni-A <br /> wall unless the walls are separated by twice the height of the lower wall.) CL--p&2-t`-' r <br /> Escrow for erosion control and engineering review costs $2,500 0I i <br /> Stairway or Lifts 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 <br /> of 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. Pre-inspection required. <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: January 2014 <br />