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. <br /> City of Orono <br /> Zoning Permit Application <br /> O Mailing Address: <br /> Permit number. � "� " � /oZ <br /> � �� PO Box 66 Date received: � <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 /> �KFSH��� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 `�'�"N.ci.orono.mn.us <br /> �y-Q, <br /> This application form must be completed in full and all required information st be submitted. ( lease print.) <br /> Job Site Address: 32°�'S C•c,r�/l �� <br /> CONTRACTOR/APPLICANT INFORMATION: � <br /> Name: <br /> Phone: Fax: <br /> Address: City: ZIP: <br /> Contact Person: ContacYs phone number <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: J aw�, s 'D i P,b e�� <br /> Phone (day): �50- 3 S O- � 9 J <br /> Mailing Address: 3 2 5 Co�.r�.n R ZIP: 53331 <br /> Email and/or Fax � ar►1@S. 'e, q ir►a� ( . Gor+'� <br /> Overall Project Description: � en1,o,K pi� �(-�C.. /1�,eG�- bu,Y ouk , �(a.r•t <br /> r�e�►�-�lc Q m,a►.� �� w i n 0 � '�s� 0 4 ( � <br /> Check TYPE OF PERMIT <br /> Box COST* <br /> I 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 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 />