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�. � � � f�� ��i. <br /> 0 (��L��� �'� <br /> City of Orono <br /> � � Zoning Permit Appiication <br /> Mailing Address: Permit number. �-�Ip�����a <br /> �� PO Box 66 <br /> � Crystal Bay, MN 55323-0066 Date received: - v�- / <br /> � O ' �;� #' <br /> � Escrow amount: ,i <br /> �. Street Address <br /> "a ti 2750 Kelley Parkway Permit Fee: � _ a 7 <br /> �c�t � p� Orono, MN 55356 Approved by: <br /> w <br /> `9kEs8�4' Fax: 952-249-4616 Notes: <br /> Main: 952-249�600 `�✓`Nw_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: 30�(p �� P�-, �. _ 6,2ay�0� �.y�N <br /> CONTRACTOR/APPLICANT INFORMATION: I <br /> Name: o L?N �5 e i N -�p tCR ,l. S as e. <br /> Phone: �- - 0 5 S Fax: Sa- gl <br /> Address: S :Ne iVe Cit : ;,u ZIP: SS <br /> ContactPerson: o . o L7�tJ ContacYsphonenumber g51_ �/�/-��55 o,2G/�-4/9-3��� <br /> Email G�c�no�L��(_ 9c�esfD��c�, ne.f' Appiicantis: Contractor Homeowner (CircleOne) <br /> PROPERTY OWNER INFORMATION: -/ <br /> Name: /�,i�oN 4 d� �iNf} �eTe,e/NA� <br /> Phone(day): 53- J3 3 - o?(� <br /> Mailing Address: o� � z Z�P: S 3 <br /> Emaii and/or Fax �( (00 `L . <br /> Overall Project Description: dSG,q,oe �S'�eu�`i o.v��,4,U�e p/,g�J�r`n1 g <br /> Check TYPE OF PERMIT COST <br /> Box <br /> Residential Dock-Permanent dock on any lake or initial seasonal dock not on $30+engineering review <br /> Lake Minnetonka ermanent dock re uires CUP costs <br /> Commercial Dock $50+engineering review <br /> costs <br /> Escrow for erosion control and en ineerin review costs $2,000 <br /> \ , Minor Land Alteration (grading,filling or excavating)-500 or less cubic yards $50+engineering review✓ <br /> j� outside of lakeshore setback or less than 10 yards in lakeshore setback costs <br /> Escrow for erosion control and en ineerin review costs $2,000� <br /> Major Land Alteration (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 /> Stairway to Lake $50+engineering review <br /> costs <br /> Escrow for erosion control and en ineerin review costs $2,000 <br /> Retaining Wall not requiring a building permit(A building permit is required for any $50+engineering reviewv' <br /> � retaining wall that measures more than four feet from bottom of footings to top of costs <br /> wall. Tiered retaining walls are considered one wall unless the walls are separated <br /> by twice the height of the lower wall.) <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 /> Structure Permit for other structures not requiring a building permit but regulated $50+engineering review <br /> by the zoning code(including, but not limited to accessory building of less than 120 costs <br /> square feet, detached deck or platform and sport court) <br /> Escrow for erosion control and en ineerin review costs $2,500 <br /> (over) <br />