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<br /> City of Orono
<br /> Zoning Permit Application
<br /> _-� MailingAdd�ess: Permitnumber: `/—b/J``t '
<br /> .GL,Q 11� PO Box 66 Date received: /�- � � ��
<br /> Qy �`V Crystal Bay, MN 55323-0066
<br /> ��\�,�, Q Escrow#and � Z�� V� ��
<br /> �''� '� , Street Address: amount:
<br /> � `� �;�':���� � 2750 Kelley Parkway Permit Fee: � '"
<br /> c� ' �, p� Orono, MN 55356
<br /> L�kESILOg'� Approved by:
<br /> — Fax: 952-249-4616 Notes:
<br /> Main: 952-249-4600 `�`�'✓`N.ci.orono.mn.us
<br /> This application form must be completed in full and all required information must be submitted. (Please print.)
<br /> GENERAL INFORMATION:
<br /> Job Site Address;...__ 5 z��� c_,i 5� �, ��,t�c,..c
<br /> CONTRACTOR/ PPLICANT INFORMATION:
<br /> Name: V�� �-����,�. N i�4�c_c-� .T �_ ,� ��,t.<<- n. �c,�,c �-1
<br /> Phone: � :i 2 7�{ � �S 2 � o Fax: G.- �2 - -�`-ic�- -�� '3i c��
<br /> Address: 52��� �s��� c_, ;�c:�- City: �,�,2j:�-,tiz:> ZIP: ��5�`=, 1
<br /> Contact Person: '�,�_� ContacYs phone number G�i 2 - 3� �zj c (�. G-i L- 3�a -2�s'�
<br /> Email �y1in�,�;,{,�; <<; ;,,,�s; _��...� Applicant is: Contractor meowner �ci«ie o�e� ��^�'�
<br /> _ _f
<br /> PROPERTY OWNER INFORMATION:
<br /> Name: ���-M�
<br /> Phone (day):
<br /> Mailing Address: IP:
<br /> Email and/or Fax
<br /> Overall Project Description: ;L.:�-��,��_,,�:��-��;��,��,...� ��,,�� -�„ L_�.�`.
<br /> �h a.�1Y�vc::, c'Kt�>T��� ST�+�S /v�rt-t�� �e�- 7[S�_:;.sS���: �-� L_t�_
<br /> Check TYPE OF PERMIT
<br /> Box COST*
<br /> Dock, Residential- Permanent dock on any lake or initial seasonal dock not on $30 + engineering review costs
<br /> Lake Minnetonka ermanent dock re uires CUP
<br /> Dock, Commercial $50+engineering review costs
<br /> Escrow for erosion control and engineerin 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 $30
<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 engineerin 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 engineerin 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 intensive 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 />
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