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, <br /> , City of Orono <br /> Zoning Permit Application <br /> O Mailing Address: a <br /> Permit number: o�D/� 0�S 7 g <br /> g- � PO Box 66 Date received: - 7 "� �y <br /> � Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> � � 2750 Kelley Parkway Permit Fee: <br /> �'F � Orono, MN 55356 <br /> < <' Approved by: <br /> �K£S H�R� 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. (P/ease print.) <br /> Job Site Address: y'y(' �i� .�Sl?�'1d <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: Su✓�cr�s�' (�rn i�i�e� -- L1��`t,f�t �•v►�.v�c <br /> Phone: Z(Q 3- �-f 7� -..�.�5.5� Fax: 7(0 3- �% - �,�0 <br /> Address: .�1S9 /1'l.ih S�: f�o,K 3�2 CitV:/�Y,r�/� ,�:n Z�P� sS3S�! <br /> Contact Person: �n��hnj�^ Contact's phone number 763- H'7f-SSS.� <br /> Email -�J D N n 5������i�p��1pn�es,f•�''Applicant is: oritractor Homeowner (Circle One) <br /> PROPERTY OWNER INFIORMATIONn: ,/� <br /> Name: �O�IV� �' V�t�; r.� K��✓l�A✓)� <br /> Phone (day): (2� 2- 360 - �'SD� <br /> Mailing Address: 2I I S 7 ,M�)n�ri�q IQ�_Vn+'�I 2 ��r,r��ltr' �ZIP: 5,533 � <br /> Email and/or Fax 'i o�n .r�����n � �P.o�t�i M a Sl�oes . �� <br /> Overall Project Description: � �� ,�,ti.��Q � <br /> � <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 ermanent dock requires CUP <br /> Dock, Commercial $50+ engineering review costs <br /> Escrow for erosion control and en ineerin review costs $2,000 <br /> Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (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 /> Tem ora Construction Office/Trailer associated with buildin ermit $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: November 30,2012 <br />