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� City of Orono <br /> Zoning Permit Application <br /> Mailing Address: <br /> Permit number: O/ -� R <br /> �Q J�,, PO Box 66 Date received: ���j / <br /> `r Crystal Bay, MN 55323-0066 � <br /> Q �; Q Escrow#and ��l� - ��� <br /> �'•�_"` StreetAddress: amount: 4 4�. dl /03 99�' <br /> � ,� �� ' --- F 2750 Kelley Parkway Permit Fee: ��a, � �� � �� <br /> t� � �`�� �" G� Orono, MN 55356 <br /> l.9 + g,ti Approved by: �, <br /> k'ESHo Fax: 952-249-4616 <br /> 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: ��7 3 �y �l ��� �O l4'� - D�DND - s5�q� <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: �fp S , e E <br /> Phone: Z - 3 -✓�Z S Fax: cE�� � 3 - ZI� -Od Z <br /> Address: ff ! � Cit : 6v a I P: $$' <br /> Contact Person: £ E ContacYs phone number Z - - <br /> Email T;�,��cuivE (��F �CoM Applicant is: Contractor Homeowner (Cirde One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: 7'T�Fp rr�t�¢S �� /yI�'Cv�v E <br /> Phone (day): 95a-�r?�����,s c�c� �39- aib -ooa <br /> Mailing Address: _T��� �y � �,/,�E' �_�ipY.���p.Ty�,v ZIP: S'���9 l <br /> Email and/or Fax ��� <br /> ?"�l�A4-C�t��ti6� /�?�, c'o.�vt <br /> Overall Project Description: j��W E�NG�Lq�p� .�h�Tio /�,����y-->2� aF �lytoLlSf{�'-j7 <br /> 0o L Gv �v c <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 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 �Y o <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 /> �1(� 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 />