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,Nov L1 14 05: 29p Design & Layout Services 952-471 -8797 p. l <br /> City of Orono <br /> Zoning Permit Application <br /> � o�/ S <br /> I Permit number � <br /> O Mailing Address: <br /> PO Box 66 Date received: ������� <br /> � �� Crystal Bay, MN 55323-0066 Escrow#and <br /> Street Address: amount: <br /> � ,� 2750 Kelley Parkway Permit Fee; <br /> '`i� � Orono, MN 55356 <br /> C, Approved by: 1 �/.�y� + ( -2-y '� <br /> � <br /> �'�ESH�� Fax. 952-249-46�6 Notes: <br /> M2in: 952-249-460C `�^N`^'��.ororo.mn.us , <br /> This application form must be completed in full and all required information must be submitted. (Please pr�nt.) <br /> Job Site Address: rC7 �� ������� ��'�� ��h`���� ��f <br /> CONTRAGTOR 1 APPLlCANT 1NFORMATION: <br /> Name: �O M 1�F1"Ls'Yl - -- <br /> Phone: 9 So�t- �{�1 -I �-ov e��� � 6�a-a-�S-i�.ov F.a�- �-l-�i- - 7 <br /> Address: e.l�r i City:�✓�t/7�f")r ZIP: <br /> Contact Person: r'pn-� ContacYs phone number �_ <br /> Email -Tp�t�r•� � 3��o LA O�PPlicant is: Contractor Homeow er {CircleOne) <br /> �o/Yi <br /> PROPERTY OWWER INFORMATION: <br /> Name: <br /> Phone(day): - <br /> Mailing Address' 1 Z1P: <br /> Email and/or Fax _ — - — <br /> Overall Project Description: ��t�p-✓� ld���-���-������ �S�F 5��� <br /> /Gf'' G�2Cvrr�r'-�"2-���-,_ 'l � �� i�TTiN� <br /> Check I TYPE OF PERMIT i—�T COST* �vG� <br /> j Box � <br /> j Dock, Residential-Permanent dock on any lake or initiaf seasonal dock not on �50+engineering review costs <br /> Lake Minnetonka ermanent dock requires CUP) <br /> Dock,Commercial $50+ engineering review costs <br /> Escrow for erosion control and engineering review costs �2,000 <br /> Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge <br /> Also required is a Minor or Maior Land Alteration Permit <br /> Land Alteration, Major(grading, filling, or excavating) more 500 cubi�yards or $50 <br /> more than 10 cubic yards in lakeshore setback (also requires CUP) <br /> II Escrow for erosion control and engineering review costs As determined by 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 enqineering review costs i S2,000 <br /> � Retaining Wall measuring under four feet require a zoning permit. $50+engineering review costs <br /> I Retaining walls measuring more than four feet (from bottom of footings to top of <br /> wa11) require a buifding permit. (7iered retaining walls are considered one wall <br /> unless the walls are separated by twice the height of the lower wall.) 2,500 <br /> Escrow for erosion control and engineering review costs _�� <br /> Stairway to Lake(New or Replacement) $50+engineering review costs <br /> � Escrow for erosion control and engineering review costs $2,000 <br /> IStructure 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) 2,500 <br /> � Escrow for erosion control and en ineerin review costs $ <br /> � Tree Removal ar other vegetation removal in 0 to 75 foot zone _ No char e. . <br /> Tem ora Construction Officel7railer (associated with buildi� permit) S30 ___� <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: November 30,2012 <br />