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� � � � City of Orono <br /> � . Zoning Permit Application �,��,� _ ,_, _ <br /> � Mailing Address: Permit number: `Z_��1�� � '.���-1 �l <br /> �Q�O PO Box 66 Date received: � � - �� <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and ��I r,r.� � C' Z-,� ���/5 <br /> Street Address: 'r � ` J <br /> amount: -�l.Jl7 �5,�-� <br /> 2750 Kelley Parkway <br /> y ; Orono, MN 55356 Permit Fee: O� <br /> � G <br /> `�kESHO�� Fax: 952-249-4616 Approved by: <br /> Main: 952-249-4600 Notes: <br /> v�,-ww.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: �i � ��� �,D P�_ (,{(,� <br /> CONTRACTOR I APPLICA 1 FORI�.IIATION: <br /> Name: r1�� -f�-x1� <br /> Phone: 4. Fax: <br /> Address: cn ' ��- Cit : G ZIP: <br /> Contact Person: Contac 's phone mber Ir ,S�' <br /> Email � ' AppJicant is: Contracto Homeowner (Circle One) <br /> � Y ��AtJ� � <br /> PROPERTY OWNER INFO MATION: ' / ��,e���(ti� � <br /> Name: G� �.�1` r' �i' <br /> Phone (day): �' <br /> Mailing Address: � c� ZIP: <br /> Email and/or Fax o�, <br /> Overall Project Description: ,��� ..�, <br /> Check TYPE OF PERMIT <br /> Box COST* <br /> Dock, Commercial $50+ engineering review costs <br /> Escrow for erosion control and engineering 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 permanent dock requires 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 engineering 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 engineering 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 engineering review costs $2,500 <br /> Tree Removal or other vegetation removal in 0 to 75 foot zone No char e. Pre-inspection required. <br /> Temporar Construction Office/Trailer(associated with building permit) $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: January 2015 <br />