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City of Orono <br /> � ' Zoning Permit Application <br /> Mailing Address: Permit number: �� �� l�P <br /> �-0� PO Box 66 Date received: � - � - �� <br /> 0 Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> StreetAddress: amount: ��3 ��� �ZJ� 3'Z7' � <br /> � >„ 2750 Kelley Parkway Permit Fee: <br /> �'F � Orono, MN 55356 <br /> � �' Approved by: <br /> �KESH��� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 W`�'i`^�•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: � ��� ��(1`� -}���;n-t � _ <br /> ,, <br /> CONTRACTOR/APPLICANT INFORMATION: n � / - <br /> Name: �� �l.�,ft12'i� -t\r�L�i1 � V�`L����1Cti U��S <br /> Phone: ��.- -- (j � Fax: <br /> Address: �, j" �- Cit : (J;�,� �, ZIP: -� ��'� <br /> Contact Person: ContacYs phone number <br /> Email �I�'�� � -}L;n � pqn�q�dy Applicant is: Contractor Hort�"ov er (Circle One) <br /> C O rn <br /> PROPERTY OWNER INFORMATION: 1� <br /> Name: � n `i� VC��2Y1�'( Ylci�. (�.,�'-i S <br /> Phone (day): �" � -� _`j(G I - (pU 3 - I <br /> Mailing Address: ZIP: <br /> Email and/or Fax �n ' a, Q,.►S rvw-� • CC:�d1 <br /> Overall Project Description: - r��j�n0� <br /> �BoXk TYPE OF PERMIT COST* <br /> Dock, Residential- Permanent dock on any lake or initial seasonal dock not on $50 + 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 /> Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (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 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 /> youtside 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 other ve etation removal in 0 to 75 foot zone No char e. <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: November 30, 2012 <br />