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, <br /> . City of Orono <br /> � <br /> ' Zoning Permit A lication <br /> � Mailing Address: Permit number: �.�� � . � _, � _ <br /> � �� Cry Bal ay, MN 55323-0066 Date received: `l��� <br /> Escrow#and - � /}'� <br /> Street Address: amount: I�l r' <br /> 2750 Kelley Parkway � <br /> � � Orono, MN 55356 �i Permit Fee: � <br /> � t�� <br /> y��'�hES����"G Fax: 952-249-4616 �;�,r,�ty�� Approvedby: � <br /> ''--- Main: 952-249-4600 �'�`� Notes: <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 /> Job Site Address: ���� �--�'E'v�'��f �� '� <br /> CONTRACTOR/APPLICANT INFORMQ►TION: <br /> Name: !�o wtX� � �. ��d i �P <br /> Phone: — 3 Fax: <br /> Address: + C Cit : �,�! ,/ c)w�tZIP: 3 F <br /> Contact Person: ` ContacYs phone number T=�� � — j ? y <br /> Email S ,,,�.�p� y -.� Applicant is: Contractor Homeowner (Circle One) <br /> 40t- C.�� <br /> PROPERTY OWNER INFORMATION: � `� <br /> Name: S`(o� � w �orf <br /> Phone (day): <br /> Mailing Address: ZIP: <br /> Email and/or Fax <br /> Overall Project Description: <br /> �BoXk TYPE OF PERMIT COST* <br /> Dock, Commercial $50+ engineering review costs <br /> Escrow for erosion control and en ineerin 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 ermanent dock re uires 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 en ineerin 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 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 <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 en ineerin review costs $2,500 <br /> Stairway or Lifts to Lake (New or Replacement) $50+ engineering review costs <br /> Escrow for erosion control and engineerin 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 en ineerin review costs $2,500 <br /> Tree Removal or other ve etation removal in 0 to 75 foot zone No char e. Pre-inspection required. <br /> Tem ora Construction Office/Trailer associated with buildin ermit $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: January 2015 <br />