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City of Orono <br /> ti <br /> � , • <br /> Zoning Permit Application <br /> Mailing Address: Permit number: <br /> �.�� PO Box 66 Date received: <br /> 0 Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> y a„ 2750 Kelley Parkway Permit Fee: <br /> G� Orono, MN 55356 <br /> �� Approved by: <br /> �kf S H 0�`� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 www.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: / (l��� ��fCG�{' �/� �' rO�vfJ >�� �S� <br /> CONTRACTOR I APPLICANT INFORMATION: ��<� / G � <br /> Name: ,.i'✓0 e G � i (- <br /> Phone: G Fax: <br /> Address: rc' !� o � Cit : � �y ZIP: ~�/ <br /> Contact Person: cy Contact's phone number 2 1 l � <br /> Email j`G��y��.�E7 q�.,,�u,�, ,�'�e,�. Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: <br /> Phone (day): � <br /> Mailing Address: ZIP: <br /> Email and/or Fax <br /> Overall Project Description: <br /> �BoXk TYPE OF PERMIT COST* <br /> Dock, Commercial $50+ engineering review costs <br /> Escrow for erosion control and en ineerin review costs $2,000 <br /> Dock, Residential - Permanent dock on any lake or initial seasonal dock not $50 +engineering review costs <br /> on Lake Minnetonka ermanent dock re uires CUP <br /> Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge <br /> Also requires is a Minor or Major <br /> Land Alteration Permit <br /> Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards $50 <br /> or 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 $50+ engineering review costs <br /> yards outside of lakeshore setback or less than 10 yards in lakeshore setback <br /> Escrow for erosion control and en ineering 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 <br /> of wall) require a building permit. (Tiered retaining walls are considered one <br /> wall 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 or Lifts 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 <br /> of 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. Pre-inspection required. <br /> Temporar Construction Office/Trailer associated with buildin permit $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: January 2014 <br />