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� � � � �� � <br /> � ,►��� <br /> � City of Orono �b <br /> Zoning Permit A lication <br /> _ __ Mailing Address: Permit number: / —���g � <br /> /;Q,Q �\�� PO Box 66 Date received: � 'r� ?i , <br /> ��OY '`�'o� Crystal Bay,MN 55323-0066 Escrow#and �- ' ,�^�(� ��jp/� �/ ��'�'j <br /> ��'' ' �� StreetAddress: amount: V`� ` v�'`� � � � <br /> ,�`' / <br /> �� � ��'� � 2750 Kelley Parkway Permit Fee: <br /> ��o,�%�'L{�'�r��,��,�� Orono,MN 55356 ,qPproved by: <br /> ,:��'c o¢-. <br /> ., ESH_,:. Fax: 952-249-4616 Notes: <br /> Main: 952-249-0600 `�"NW,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: �.��b �q��,p i li►� �G� <br /> CONTRACTOR/APPLICANT INFOR ATION: <br /> Name: `��Gi, <br /> Phone: � Fax: 3 � � � 33 <br /> Address: Cit : iP• <br /> Contact Person: ContacYs phone number - i <br /> Email a Applicant is: ontracto� Homeowner �c� . �•1 <br /> PROPERTY OWNER INFO MATION: <br /> Name: <br /> Phone(day): _ <br /> Mailing Address: - Z�P� <br /> Email and/or Fax <br /> Overall Project Description: Pit 1�1 nu S �" r �lt�ic) ��'Irl <br /> CBoxk TYPE OF PERMIT COST* <br /> 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,Commeraal $50+engineering review costs <br /> Escrow for erosion control and en ineerin review costs $2,000 <br /> � Drlveway 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 $50 <br /> more than 10 cubic yards in lakeshore setback(also requires CUP) <br /> Escrow for erosion control and en ineerin �eview 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 /> (over) <br /> *Permit fee will be collected at <br /> the time the permit is issued. <br /> Updated: April 23,2012 <br />