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. . <br /> City of Orono <br /> Zoning Permit Application <br /> MailingAddress: Permit number: (� � — �7 <br /> O.Q,Q J1�O PO Box 66 Date received: <br /> Y �`V Crystal Bay, MN 55323-0066 <br /> Escrow#and i" <br /> Street Address: amount: l �I� �Z <br /> � � F 2750 Kelley Parkway Permit Fee: — <br /> �'� ' p� Orono, MN 55356 <br /> t.yx�x�g,� Approved by: <br /> Fax: 952-249-4616 Notes: r v 'L7' �--- <br /> Main: 952-249-4600 `N`nnni.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: ��.C./ Lt{�,�m �' �.. _ <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: `,��OYk W OCX� L.�-�C� <br /> Phone: Fax: <br /> Address: '� 1 VQ Cit : I'�I� ZIP;� <br /> Contact Person: p Contact's phone number - 2- <br /> Email ���}S�y��,}.�(� Applicant is: ontractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: I�I�.Q�{-°F- �'Y�y K�SYI?� <br /> Phone(day): LDI Z •�� • !t12— <br /> Mailing Address: ZIP: <br /> Email and/or Fax m�,�� vancx� conn <br /> Overall Project Description: <br /> �BoXk 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 ermanent dock re uires CUP <br /> Dock, Commercial $50+ engineering review costs <br /> Escrow for erosion control and en ineerin review costs $2,000 <br /> Driveway Permit(New or Replacement) No charge <br /> Also re uired is a Minor or Ma�or 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 en ineerin review costs As determined b 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 en ineerin 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 en ineerin 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 en ineerin review costs $2,500 <br /> Tree Removal or other ve etation removal in 0 to 75 foot zone No char e. <br /> (over) <br /> *Permit fee will be collected at <br /> the time the permit is issued. <br /> Updated: April 23,2012 <br />