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<br /> , . City of Orono
<br /> Zoning Permit Application
<br /> Mailing Address: Permit number: l -o o a�3
<br /> �Q�? PO Box 66 Date received: �—l� — �C� l
<br /> �r Crystal Bay, MN 55323-0066 •
<br /> 0 Q Escrow#and
<br /> i
<br /> � Street Address: amount: ���%J�` �f Z�!\��` ��� ���; ��7 � �
<br /> '� '� ti 2750 Kelley Parkway Permit Fee: �'U � ��j�.,��
<br /> � G� Orono, MN 55356 _ ' , Y7.-�c
<br /> ��9�.�H��g,'�' Approved by:
<br /> - Fax: 952-249-4616 Notes:
<br /> Main: 952-249-4600 w`�•ci.orono.mn.us
<br /> This application form must be completed in full and all required information must be submitted. (P/ease print.)
<br /> P �
<br /> Job Site Address: l`J"'� ��,;;t•;t�j t� ���ty� "�;�+��
<br /> CONTRACTOR/APP ICANT INFORMATION:
<br /> Name: �E��f��:�"-� �n1L�•
<br /> Phone: 6�2• ��a�[°323Z Fax: �,►; . ��(.,'�. t��,bp
<br /> Address: ''(''�aq �Iv1.�P�v�lt�'( Pt�'E-, 4 City� �.�w1��E��} ZIP� S�,�lx?
<br /> Contact Person: Q�1W KEfiKF.(t.. ContacYs phone numkz ;���+ . 2�� �,;,�;�.
<br /> Email �� � ��_�_K��� �f.j�_.,a`.�,� Applicant is: Contractor Homeowner (Circle One)
<br /> PROPERTY OWNER II�FORM�TION�/�
<br /> Name: /�� l��i�y S � �
<br /> Phone (day): Z- -LS- �
<br /> Mailing Address: � �_2 G, ���it�.e .,:, �, � ,,, IP: '— -�
<br /> Email and/or Fax
<br /> OverallProjectDescription: ��4njq�.`�Q�...�. ��1�`�`�:, W�y�t �T�,-;1�' F�;�[��..;-�, ` `.� . �., , , �;,;~; ���-�';�,
<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
<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 �ic,�neering review costs As determined by 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 $�3@g ' '��;(� (X
<br /> Retaining Wall measuring under four feet require a zoning permit. $50+ engineering re iew 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 L jLi�W C�'j�5:.�'N '
<br /> unless the walls are separated by twice the height of the lower wall.) � � �
<br /> Escrow for erosion control and en ineerin review costs •, � �� /��j $�-598-�� �L�
<br /> Stairway to Lake (New or Replacement) ",},j�� c�- �� �1$50+ engineering review costs
<br /> Escrow for erosion control and engineering review costs L�ti1<<ti${t i'`��"� $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: December 30, 2011
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