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t <br /> City of Orono <br /> Zoning Permit Application <br /> Mailing Address: Permit number: o�d `-C� �Q � <br /> '���0 PO Box 66 Date received: �J'2� " y' <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> .� a„ 2750 Kelley Parkway Permit Fee: <br /> y�, � Orono, MN 55356 <br /> L Approved by: <br /> `�Kf S N 0�� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 `^�`^"^'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: p���C' ��}`;�'i�' ���i C �E- �t.%L�-tZa-F�(- � �`� �tJ �j���l� <br /> CONTRACTOR/APP CANT INFO A ION: <br /> Name: 0(,( ��= 1� <br /> Phone: - Fax: <br /> Address: �i'e� ��_�__ Cit : ZIP: <br /> Contact Person: � ContacYs phone number - —/ / �' <br /> Email �-��� �1���'c�t���,[�e�. f cnr Applicant is: Contractor � OI1l@OWfI@�' (Circle One) <br /> PROPERTY OWNER 1 ORMATION: <br /> Name: C�cJ <br /> Phone (day): / — � <br /> Mailing Address: � � �Cc - Z�P: 3 ` <br /> Email and/or Fax ��� � � <br /> Overall Project Description: FE� j <br /> Check TYPE OF PERMIT <br /> Box <br /> Dock, Commercial <br /> Escrow for erosion control and en ineerin review costs "�?vious 9aiar�-�e: <br /> Dock, Residential— Permanent dock on any lake or initial _:,�mits _ <br /> on Lake Minnetonka ermanent dock requires CUP <br /> ;�.4-005�� 'c�6� E�ay�: ' <br /> Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (Ne� _'i1-�252sJ ' <br /> ::.r�:r�y Pertnit ,�' _ , <br /> v4a., <br /> _t31C -__.. -�-__-'_ <br /> Land Alteration, Major(grading, filling, or excavating) mor <br /> or more than 10 cubic yards in lakeshore setback (also req� _- :�. <br /> Escrow for erosion control and en ineerin review costs �=�'� �"'' ?7'- <br /> ,a:�r: <br /> Land Alteration, Minor(grading, filling or excavating)—500 _,,r��,�� n>c:_ <br /> yards outside of lakeshore setback or less than 10 yards in I a�� App�ieu: _,.____�____ __ <br /> Escrow for erosion control and en ineerin review costs _,ue -�„.�i`Ed: - --_--•, <br /> ___ <br /> Retaining Wall measuring under four feet require a zoning F �� � � <br /> Retaining walls measuring more than four feet(from bottom � = -' " <br /> of wall) require a building permit. (Tiered retaining walls are <br /> wall unless the walls are separated by twice the height of the <br /> Escrow for erosion control and en ineerin review costs <br /> Stairway or Lifts to Lake(New or Replacement) <br /> Escrow for erosion control and engineering review costs _ _ - <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 /> J� of 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. Pre-inspection required. <br /> Temporar Construction Office/Trailer associated with buildin permit $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: January 2014 <br />