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' ' City of Orono <br /> Zoning Permit Application <br /> O Mai(ing Address: Pe� rmit number: ��S - d � T �� <br /> � �O PO Box 66 <br /> Crystal Bay, MN 55323-0066 ��te received: L�" � �-1 J� <br /> Escrow#and y��0� / . <br /> Street Address: amount: ✓ <br /> 2750 Kelley Parkway <br /> y ` Orono, MN 55356 Permit Fee: ap�s_�d C�C�ID <br /> F <br /> C� <br /> ��kEs1-{o��� Fax: 952-249-4616 i Approved by: � <br /> Main: 952-249-4600 Notes: �x� rC��� _, ,��,,,��� � , <br /> www.ci.orono.mn.us <br /> �� � <br /> � <br /> This application form must be completed in fulf and all required information must be submitted. (P/ease print.) <br /> Job Site Address: �� �, ��� �"' <br /> CONTRACTOR!APPLICANT INFORM ON: <br /> Name: ��%rt�.,u �t���.�.,+.n `��v-��� �trr�� ���r �"� <br /> Phone: ---�' Fax: �X � <br /> Address: 8l"ZL> ��'►►� ` '��, lG'C��! CitY:�(Gli-�r�Mh`�c�+-, ZIP: .�j { <br /> Contact Person; Citrk�� �uc-••-.. ContacYs phone nu�r �t2 y�- ��� <br /> Email ��`���• _�;___ a,�- S��JApplicant is: ontractor Homeowner (Circle One) <br /> i <br /> PROPERTY OWNER INFORMATION: t � <br /> Name: L�b�i� � ��'��'� �" <br /> Phone (day}: Co l2- 'Z5� -. ��1 S <br /> Mailing Address: �`G��_�..,�-�-�,� �,.,0•-�� ('1� ZIP: �� 3( <br /> Email and/or Fax 1 h ct..ln, 5 d i�LInS ..c.v� <br /> Qverall Project Description: �OvM � 1..4�..��l.s�-� '�f <br /> Check TYPE OF PERMIT <br /> � Box i COST* <br /> Dock, Commercial ' $50+ enginesring review costs <br /> Escrow for erosion control ar: �2,000 <br /> Dock, Residential - Permaner. � � � .� $50 + engineering review costs <br /> on Lake Minnetanka (permaner <br /> - __ <br /> � Hardcover Permit: Driveway. Na charge <br /> � ��� � /b Also requires is a Minor or Major <br /> r\1���� � Land Alteration Permit <br /> Land Alteration, Major(grad�� �50 <br /> or more than 10 cubic yards in . <br /> Escrow for erosion control anc_ � ll � � As determined b CUP <br /> Land Alteration, Minor(grad����� � `��;t�)+ engineering review costs <br /> � yards outside of lakesfiore setb; <br /> Escrow for erosion control ar�+ �_ 000 <br /> Retaining Wall measuring unc� /� 'r?+ engineering review costs <br /> Retaining walls measuring mor, U <br /> � of wall) require a building per��� <br /> I wall unless the walls are sepa�: <br /> ' Escrow for erosion control anu �2,500 <br /> I, Stairway or Lifts to Lake (Nev+ w50+ engineering review costs <br /> ' Escrow for erosion control and er�y�r�ee��ny rev�evv t,c�sts i �2.Q00 <br /> � ___ __ __ _ _ _____ _--+_---- <br /> -- <br /> — -- <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 12d square feet, detached deck or platform and sport court) <br /> Escrow for erosion control and en ineering review costs $2,500 <br /> Tree Removal ar other ve etation removal in 0 to 75 foot zone No char e. 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 2d15 <br />