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� <br /> � ' � City of Orono �.3 � <br /> , � <br /> - r <br /> � � Zoning Permit Ap lication <br /> ---� Mailing Address: Permit number. d(� / — O� a --S <br /> ,��0 J�,, PO Box 66 Date received: J� " � �- �� <br /> ; `r Crystal Bay, MN 55323-0066 � <br /> Q ;� Q Escrow#and '�R� � <br /> �"x ,� StreetAddress: amount:,,_.�_..._. V ___ ; <br /> - __ <br /> `'' � �,�.� F 2750 Kelley Parkway Permit Fee: , ��C <br /> �c� " ��` � Orono, MN 55356 <br /> l g,'�G Approved by: <br /> �kEsBo <br /> =— 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 /> GENERAL INFORMATION: <br /> Job Site Address: I �� 3 �_ �;^��^�,��z�[7l �r� , ���j�y,�`�`T��L� . �5�0� <br /> CONTRACTOR/APPLI NT-INFORMA ION: <br /> Name: � ` <br /> Phone: ', Z.- �. ., - c'�y Fax: <br /> Address: ' 4 , Cit : n/� ZIP: �''''� •� <br /> Contact Person: " r' ContacYs phone n r <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: -�' � � r <br /> Phone (day): '� �-� �= ,( t <br /> Mailing Address: r , ZIP: <br /> Email and/or Fax <br /> Overall Project Description: � �,,>/'� ++ � , �� � a , <br /> Check TYpE OF PERMIT <br /> Box COST* <br /> Dock, Residential- Permanent dock on any lake or initial seasonal dock not on $30 + 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 /> Driveway Permit(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 $30 <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 tess 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 intensive ve etation removal in 0 to 75 foot zone No char e. <br /> (over) <br /> *Permit fee will be collected at <br /> the time the permit is issued. <br />