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� � City of Orono <br /> Zoning Permit Appiication <br /> Mailing Address: Permit number: <br /> g-O� PO Box 66 Date received: <br /> � Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> � �. 2750 Kelley Parkway Permit Fee: <br /> �'�. � Orono, MN 55356 <br /> ! �' Approved by: <br /> qKESH��� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 �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: �� �Q� �Gt�/'A� �� � LOV� �g <br /> CONTRACTOR/APPLICANT INFORMATIO • <br /> Name: �rN II�So�a1 S <br /> Phone: 'x — Fax: <br /> Address: S/o (�v� Cit : k ZIP: <br /> Contact Person: rt (� Contact s phone numb r — <br /> Email ������ � �(��.�f Ap,�p`ant is: ontractor Homeowner (CircleOne) <br /> ��t0 <br /> PROPERTY OWNER I QRMATION: <br /> Name: 1/lrl � I �l�l�t � <br /> Phone (day): /�— 7 a — <br /> Mailing Address: C� Y� ZIP: <br /> Email and/or Fax , ` G v <br /> Overall Project Description: '� �,r, <br /> Check TYPE OF PERMIT <br /> Box 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 /> 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 /> 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 />