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r � City of Orono <br /> �' Zoning Permit Application oo,o - ao��9-escrav✓ <br /> �'�'�'�- Pennit number Ol0 -GY> $ <br /> O.¢�,�0 PO Box 66 / <br /> Crystal Bay, MN 55323-0066 Date reoeived: $ �//D <br /> ��?y a, Street Add�ess: Esanw amouM: �. <br /> �, � � ti`�' 2750 Kelley Parkway Permit Fee: � c��. D <br /> ��o$,�G Orono,MN 55356 <br /> - Rec:eived by: <br /> Main: 952-249-4600 Fa�c 952-249-4616 www ci oronomn us <br /> This application form must be completed in full and all required i�ormation must be submitted. (PJease print.) <br /> GENERAL INFORMATION: ��� �QS� �� � � w A_ _i � <br /> Job Site Address: �--�{« <br /> CONTRACTOR/APPLfCANT INFORMATION: <br /> Name: �'E F E c.S oi..l - t3 0�.�.:.c�. -S��S � C-• <br /> Phone: -4 3�j- � Fax: 5 - � I <br /> Address: o C,-t� 17 Ci : ZIP: <br /> Contact Person: � Nc�.S Contad's phone number 1 - b - "t <br /> Email Np1f�. Applicant is: Contractor omeowner �c�aeonsl <br /> PROPERTY OWNER�FORMATIO�1: <br /> Name: ( ��L i.D t�i -L'�£,S <br /> Phone(day): - - o <br /> Mailing Address: o � ZIP: 3 <br /> Email and/or Fax � • C. <br /> Overall Project Description: <br /> Check TYpE OF PERMIT COST <br /> Box <br /> Residential Dock-Permanerrt dodc on any lake or initial seasonal dock not on $30+engineering review <br /> Lake Minnetonka Rnanerrt dock r uires CUP costs <br /> Commercial Dock $50+engineering review <br /> costs <br /> Escrow for erosion control and en ineerin review oosts $2,000 <br /> Minor Land Alteratlon(grading,filling or excavating)�00 or less cubic yards $50+engineering revieMr <br /> outside of lakeshore setback w less than 10 yards in lakeshare setbadc costs <br /> Escrow for erosion corrtrol and e ineeri review costs $2,000 <br /> XMajor l.and Alberation(grading,filling, or excavating)more 500 cubic yards or $30 <br /> more than 10 cubic yards in takeshore setback(also requires CUP) <br /> Escrow for erosion control and en ineerin review costs As determined b CUP <br /> Stairway to lake $50+engineering review <br /> costs <br /> Escrow for erosion control and en ineerin review c�sts $Z 000 <br /> Retaining Wa{I not requiring a building permit(A building permit is required for any y50+engineering review <br /> retaining wall that measures more than four feet from bottom of foatings to top of costs <br /> wall. Tiered retaining walls are considered one wall unless the walls are separated <br /> by twice the height of the lower wall.) <br /> Escrow for erosion control a�d en ineerin review costs $2,500 <br /> Tree Removal or intensive v tation removal in 0 to 75 foot zone No char e. <br /> Structure Permit for other structures not requiring a building permit but regulated 550;enginee�ing rev'iew <br /> by the zoning code(incl�ing,but n�limibed to accessary building of less�an 120 � <br /> square feet, detached dedc or platform and sport court) <br /> Escrow for erosion control and en ineeri review costs $2 500 <br /> (�e�l <br />