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� City of Orono <br /> Zoning Permit Application <br /> /-- Permit number: �� — <br /> �O� Mailing Address: Q _ <br /> PO Box 66 Date received: O <br /> � Crystal Bay,MN 55323-Q066 <br /> Escrow#and <br /> IStreet Address: amount: <br /> � a ` 2750 Kelley Parkway Permit Fee: <br /> � � Orono, MN 55356 <br /> �! �' Approved by: <br /> �KEst►O�� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: J�{ �p Q�-a`1(��-}-,r }�j��t�- '�(�0.�, <br /> , <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: N�ic,1.,,ae j �e�,ti.;b�✓'.�n <br /> Phone: Z- z Z- z. o �— Fax: <br /> Address: j�o� ��acke.�-1-S Po��c3-- City: tt�'YZt�t� ZIP: �535'/ <br /> Contact Person: S�,z�c r,�,r �0,.e ContacYs phone number y3�� Z�jz� z�)o5 <br /> Email �;a ,,,��y�s;,��,,yApplicant is: ontractor �. Homeowner �c+rc�ooe� <br /> �___ _� <br /> PROPERTY OWNER INFORMATION: <br /> Name: ,,�r^� ��T1 vi .��,t v1 -�—. <br /> Phone(day): �Z- Z �C <br /> Mailing Address: ��pp (��U��c�+����„t� � ZIP: ,�"'�'�q/ <br /> Email and/or Fax <br /> Overall ProjectDescription: �e� � �� rQea�yQ �,n,t �}�-f�e. �v� 75' Z on�-- <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 Atteration 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 /> 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 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 /> Stairvvay 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 stn�ctures 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 OfticelTrailer associated with buildin ermit $30 <br /> (over) <br /> *Permit fee will be cotlected when the permit is issued. <br /> Updated: November 30,2012 <br />