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� � City of Orono
<br /> Zoning Permit Application
<br /> Mailing Address:
<br /> Permit number: �l� �`� �p�
<br /> .Q,Q J�,, PO Box 66 Date received: ���J���
<br /> 0 y `r Crystal Bay, MN 55323-0066 �
<br /> ;�, Q Escrow#and
<br /> �� � Street Address: amount: ���O� �'"��� L� � C�l%G�� / /7
<br /> '� ������ � 2750 Kelley Parkway Permit Fee: � �r---G �
<br /> �c��' � ����,, p� Orono, MN 55356
<br /> qg��Yt��g,� APProved by:
<br /> sx Fax: 952-249-4616
<br /> Notes:
<br /> Main: 952-249-4600 _ ___ _ _ _-_ __ ,' ,�
<br /> This application form must be completed in full and all required information must be submitted. (P/ease print.)
<br /> Job Site Address: �"�� c�',J~' �u�c-�� �� �^-T �� <� ��
<br /> CONTRACTOR/APPLICANT INFORMATION: .
<br /> N a m e: /�?� c, . ,� c' �k C � v.� 7�n.-� K+ ��., ..� /�n✓e n�� ��,
<br /> Phone: 3 Zd - �f` � Fax: - � c> > ` ' �• J"'� 7C�
<br /> Address: f'. C�• / � v Cit : �•:,, c, ZIP: ,j�S3,3 ,
<br /> Contact Person: �d�,.�; /�?o� vi;,� Contact's phone number � 1- z� - ; - �"y/�.
<br /> Email —� Applicant is: Contractor omeowne (Circle One)
<br /> PROPERTY OWNER�NFOi�,NIATION: + �-�'�'a � �?�-I 1
<br /> Nam e: �,�,,. � Z� �l\c;`{' { , �--
<br /> U c )c �^ T ��/°
<br /> Phone (day): � - � ��
<br /> Mailing Address (� - r ,.,,T � ZIP: „�,.I"�i/
<br /> Email and/or Fax ,..r � „ . ,o �,/ /,� � �� : /, � � i�-,
<br /> Overall Project,Description: l�n a v c � � � s-r- i,,,�� �p f-t �, r C� �c r �1. G✓T��✓�
<br /> lc� j� l ✓G �D�- � —� �� ,�, ��. �
<br /> Check TYpE OF PERMIT
<br /> Box COST*
<br /> Dock, Residential - Permanent dock on any lake or initial seasonal dock not on $50 + engineering review costs
<br /> Lake Minnetonka permanent dock requires CUP
<br /> Dock, Commercial $50+ engineering review costs
<br /> Escrow for erosion control and engineering 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 $50
<br /> 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 yards $50+ engineering review costs
<br /> outside of lakeshore setback or less than 10 yards in lakeshore setback
<br /> Escrow for erosion control and engineering 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 ineering 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: December 30,2011
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