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. . �,� � � �, : ,� � c� City of Orono � 4 �. � �:�o Zoning Perr�7it Application __ ------- - --- 1 Mailing Address: Permit number: �� - ��0__ _ -- - - - --- � Q \\ PO Box 66 Date received: � l� �� Crystal Bay, MN 55323-0066 -- -- — ---- ____ ��Q ��, Escrow#and �t � d�+-___� G�d� ` �'I StreetAddress amount: _ � i -- - �� }+�� _�� „' 2750 Kelley Parkway Permit Fee: �� •� ' ,tj�� G�/, Orono, MN 55356 �-� - --- -- �kESH�g'�� Approved by: _ ��f _ �U-SLI Fax: 952-249-4616 Notes: Main: 952-249-4600 - -� _-- ------ - - - --_____ -- --- ___ ._-- -__ __ This application form must be completed in full and all required information must be submitted. (Please print.) G�NERAL Ifv�ORMATION: ` Job Site Address: �C�O �U��U� � ��" • __ CONTRACTOR/APPLICANT INFORMATION: Name: � Z�c� _ __ Phone: __�/�� 1 3 S' t S�/�- Fax: _ Address: �,pO��Wc)o p�"' City�r�_,.-.� ziP: sS356 Contact Person: __�� Contact's phone number �- 3 S-/S �-- _ Email Applicant is: Contractor eowne (Circle One) PROPERTY OWNER INFORMATION: Name: fF� �2�— -- -__ --- ----- ____ Phone (day): _--� l2- 735�1 S_ 2 -- -- ----- _- -- - -- -- -- -- MailingAddress _�C)v i e�e]�u1�Q �� __ ___ ZIP:_____3�fo _ ____ Email and/or Fax �(, ,GIZu�� rnc hs� , C6w, _�____ _ __ ______ Overall Pro ect Descri tion:��d' � S l�e d v-�- G � .� �� J p — �--------- --- --------- ,__ _ �� ------ ---------- -- ; cn�� ___ * ; TYPE OF PERMIT COST -Sox-- ----- - - - -- -- -- - � Dock, Residential- Perrnanent dock on any lake or initial seasonal dock not on $30 + engineering review costs Lake �4innetonka (permaner�t dock re uires CUP) ----�------- -- -- ----- -- � Dock, Currimercial $50+ engineering reviev��costs � Es�row for erosion control and engineering review costs $2,000 _ _ _ __ ---- _ _ _- -------- --- ------- --------- - I ; Driveway Permit(New or Replacement) No charge I Also required is a Minor or Major Land Alteration Permit - - — --- -------------------_-- r Land Alteration, Major (grading, filling, or excavating) more 500 cubic yards or $30 more than 10 cubic yards in lakeshore setback (also requires CUP) , Escrow for erosion control and engineering review costs As determined by CUP__ -- --- -t----------------- --- ------ _____-- Land Alteration, Minor (grading, filling or excavating) -500 or less cubic yards $50+ engineering review costs outside of lakeshore setback or less than 10 yards in lakeshore setback Escrow for erosion control and engineering review costs _____ $2,000 Retaining Wall measuring under four feet require a zoning permit $50+ engineering revieev costs Retaining walls measuring more than four feet (from bottom of footings to top of wa!I) require a building permit. (Tiered retaining walls are considered one wall i unless the walls are separated by twice the height of the lower wall.) I [scrow for erosion control and engineerir�g review cosis $2,500 , _ __ __ . _ -- _ ___. _. ._ _ Stairway to Lake (New or Replacement) $50+ engineermg rev�ew costs �! l Cserow for erosion control and en ineerin review costs $2,000 �_ _- --- -- --- ---- --g---g-- --- -------. --- ----- �__ .. -- ' Structure PErmit for other structures not requiring a building permit but i $50+ engineering review costs 1 ! ; reyulated by the zoniny code (including, but not limited to accessory c:�uilding of � i less than 120 square feet, detached deck or platform and sport court) � Escraw for erosion control and engineering review costs $2,500 __ F------- ------------------ i ______ ; 7ree ftemoval or inten�i�+e vec,�etation removai in 0 to 75 foot zone____ _ No charge_______ _____ __ (over) �(� *Permit fee will be collected at U�( the time the perrnit is issued. %V -� h � � d �- 1 � x I a �� r �,._��-�— P� ��,;�,�,�� , � �'r-��,� s�..e_� .