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��,c.s�;-r�u a <br /> . ' � � City of Orono <br /> Zoning Permit A lication _ <br /> Mailing Address: <br /> Permit number: <br /> �Q� PO Box 66 Date received: ? ( <br /> O � O Crystal Bay, MN 55323-0066 Escrow#and y <br /> Street Address: amount: �V� <br /> � �'� � 2750 Kelley Parkway Permit Fee: ��; <br /> � Orono, MN 55356 <br /> ��tyx. 4�' APProved by: _ <br /> ESH Fax: 952-249-4616 Notes: � <br /> Main: 952-249-4600 <br /> www.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: '���s G��-S�u ����`� ��� Qr��� M� ��� �� <br /> CONTRACTOR 1 APPLICANT„I�O MATION: <br /> Name: [ -����''- ��`i�����''� <br /> Phone: t Z- �f� - �-f 8� Fax: <br /> Address: Z`l65 G�;Sc�; ��. i� Cit : !� +�o ZIP: �S3`�I <br /> Contact Person: �(i � cJ e�lS��1 ContacYs phone number �! �2 T '� `{ - H 8z3 <br /> Email c� . �' S We�►k��t-5- ��`"` Applicant is: Contractor eown (CircleOne) <br /> PROPERTY OWNER INFO TION: <br /> Name: �:L;��� � - �t.�2►'i�'�, <br /> Phone (day): 2.- Y� t _ 8 z3 <br /> Mailing Address: 2 � G�S� rvn.a MaU ZIP: SS39/ <br /> Email and/or Fax C L�. SWC'_���� --S • y''� <br /> Overall Project Description: d t�-e�' •�+�, a►�.�✓ r'c�S� �,�,��� � � <br /> CBoxk TYPE OF PERMIT 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 en ineerin 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 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 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 />