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City of Orono <br /> Zoning Permit Application <br /> O Mailrng Address: Permit number: �c��a���/ <br /> � �O PO Box 66 � <br /> Crystal Bay, MN 55323-0066 Date received: �//—/✓ <br /> Escrow#and <br /> Street Address: amount: <br /> � � 2750 Kelley Parkway <br /> y ; Orono, MN 55356 Permit Fee: �' <br /> F <br /> �,9 �,�' Approved by: <br /> kFSHO� Fax: 952-249-4616 <br /> Main: 952-249-4600 Notes: <br /> www.ci.orono.mn us <br /> This application form must be completed in full and all required information must be submitted. (P/ease print.) <br /> G� <br /> Job Site Address: ;�1(, 1 � C..�,�� �01�U 1 �Z�l�'1' i�. <br /> CONTRACTOR I APPLICANT INFORMATION: / <br /> Nam e: �lzl C_- ���C�`�'�v t�l �9 � <br /> Phone: (�/a ��p �ScU Fax: <br /> Address: l C.�HS�o �T �z0 Cit ' fZ�,u(� ZIP: S� 3�'1 <br /> Contact Person: ContacYs phone number <br /> Email �'�Lti L � L'tX,,S�,�;,r+q ,cv�tiQpplicant is: Contrac or Homeowner �c���ie o�e� <br /> PROPERTY OWNER INFORMATION: �`j <br /> Name: �i'p'i"t� i-1 S f�'l30�lt � t <br /> Phone(day): <br /> Mailing Address '�, ZIP: <br /> Email and/or Fax � <br /> Overall Project Description: lZc�'T�°+�N 1 l��, W��'�C� <br /> Check TYpE OF PERMIT <br /> Box �f�f�� <br /> Dock, Commercial (/�•� <br /> Escrow for erosion control and engineerin revie�costs '�� <br /> Dock, Residential – Permanent dock on any lake'br initial seas� � �l 1 <br /> on Lake Minnetonka permanent dock requires,:!CUP � �1 <br /> Hardcover Permit: Driveway, Patio, Sidewa�k, etc. (New or F <br /> � � _ . <br /> Land Alteration, Major(grading, filling, or excavating) more 5� <br /> �'I' ���—.��,� c <br /> or more than 10 cubic yards in lakeshore setback (also requires , <br /> Escrow for erosion control and engineering review costs <br /> , Land Alteration, Minor(grading, filling or excavating)–500 or I � <br /> � yards outside of lakeshore setback or less than 10 yards in lake — <br /> Escrow for erosion control and engineering review costs �--- <br /> Retaining Wall measuring under four feet require a zoning perr �„ �J � <br /> Retaining walls measuring more than four feet (from bottom of fi r/� f�� 'l,��X- <br /> � of wall) require a building p 'rmit. (Tiered retaining walls are cor Y � V <br /> wall unless the walls are parated by twice the height of the lo� � � � ^ � <br /> Escrow for erosion con I and engineerin review costs � �l �,(_, <br /> Stairway or Lifts to L e (New or Replacement) � ��J )� <br /> Escrow for erosion c trol and engineering review costs � .�� � <br /> Structure Permit for other structures not requiring a building pE � <br /> regulated by the zoning code (including, but not limited to acces <br /> of less than 120 square feet, detached deck or platform and spo � �/ ._ f <br /> Escrow for erosion control and en ineering review costs ��/1'�"�� <br /> Tree Removal or other vegetation removal in 0 to 75 foot zon d. <br /> Temporary Construction Office/Trailer(associated with buildii <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: January 2015 <br />