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, <br /> . <br /> ; City of Orono <br /> Zoning Permit Application <br /> Mailing Address: Permit number: ��� �����l <br /> �� PO Box 66 Date received: 1 � �1• � <br /> �� Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> StreetAddress: amount: N�' <br /> y a„ 2750 Kelley Parkway Permit Fee: <br /> G� Orono, MN 55356 <br /> �� � Approved by: .� <br /> �KFSHO� 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: 3ZS I GA-Sco G+�-c�' ��c-%� M �I SS� G I -� � ► �7 <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: ��+�z.-+q-r�� �.}- . �c{,�f-} <br /> Phone: lc�l2- ��-3 - .3 z i o Cc-� Fax: <br /> Address: 3 ZS I GA�-Scc� �-t Z-�-<--� City: o�lL.�„�o ZIP: �-5-3�I -R��1� <br /> Contact Person: �r�-�- ContacYs phone number 10 i 2 -�y3-3ziv G�1 <br /> Email ,�n,��,�_tis C ,n,��n;i , �:.� Applicant is: Contractor meown (Circle One) � <br /> PROPERTY OWNER INFORMATION: Cs�u� AS ���:=� <br /> Name: <br /> Phone (day): c��z-3y-53-- 2os-z� (� >> <br /> Mailing Address: ZIP: <br /> Email and/or Fax <br /> Overall Project Description: q-����-�--�- P�-�t�.�r r-a-R.- �nr�-u, ;��,r�� P,�--s-,� <br /> �BoXk TYPE OF PERMIT COST* <br /> Dock, Commercial $50+ engineering review costs <br /> Escrow for erosion control and en ineering 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 �,_,�,,,--y�,�,, �,,�„�� �� ` <br /> Escrow for erosion control and en ineerin review costs $2,000 c;.�- � -a,� L � <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 ineering 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 /> Temporary 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 />