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<br /> City of Orono � G° �''`" ��°'�'�
<br /> Zoning Permit Application
<br /> Mailing Address: Permit number: �[3- Q � Z
<br /> �-0� PO Box 66 Date received: Z� � � 3
<br /> � Crystal Bay, MN 55323-0066
<br /> Escrow#and
<br /> Street Address: amount:
<br /> � �. 2750 Kelley Parkway Permit Fee:
<br /> y�, �� Orono, MN 55356
<br /> ( Approved by:
<br /> �KESH��� Fax: 952-249-4616 Notes:
<br /> Main: 952-249-4600 `�r.w��r�c�_orono rrn us
<br /> -- - � (,� I ''1 'I
<br /> This application form must be completed in full and all required information must be submitted. (Please print.)
<br /> Job Site Address: .��j� ��, e� ��1cr,c.� U��,-��� ,�s'1 S-S 3�!/
<br /> CONTRACTOR/APPLICANT INFORMATION:
<br /> Name: �l-ll;;clf L- �-�s
<br /> Phone: _ � - t ;S- Fax: �S S- � � - S I "
<br /> Address: �j7 3 (�f i.J;��Pr-c:� _� City: �--{��,,-� ZIP: 5 G.S'73
<br /> Contact Person: .S/-1u nrz }�,�p.-�s ContacYs phone number "��� /-g��,._ �c S-�
<br /> Email �{��,�.�,� h%��s,� !���-s.c�.•,Applicant is: �6nt ctor Homeowner (Circle One)
<br /> PROPERTY OWNER INFORMATION:
<br /> Name: ��E� l� C�;:�nJ!� / ����.�c_��� S(,.1 Pn�f'i,uC�
<br /> Phone (day): C� � � �- S '
<br /> Mailing Address: � C��,� �ef�:. c;�. N m;-,�-�,1cL:��l;s ZIP: sS 4�U
<br /> Emailand/orFax c7��r�no �"'c�►�j��r,-,c;�` ) .c..;�r
<br /> Overall Project Description: ��K.�-� 1 I��-;ory �; �- �,r�� �<<� �j,��c,;���-
<br /> CBoXk 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 /> 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 a rin review costs $2,500
<br /> Stairway to Lake(New o Replaceme (I(1(,(,jhlL Cl $50+engineering review costs
<br /> Escrow for erosion control an 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
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