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` � � • City of Orono <br /> Zoning Perrnit Application <br /> �O • _O �vfailing Address: + <br /> Permit number: a� � -�D7� <br /> 1�/ PO Box 66 Date received: ' 1 r 1 <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> � �,,, 2750 Kelley Parkway Permit Fee: , ; ��, T� 'Z-�� <br /> �. � Orono, MN 55356 � � � <br /> �� ��' Approved by: �� <br /> Kf S N 0� Fax: 952-249-4616 Notes: i � Y � <br /> Main: 952-249-4600 • <br /> � ��� �, `�1, 1'�I� �'� �. �'� I <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: I g J� l.b f'�CQ�IQ J�i , 0 r�, Q <br /> CONTRACTOR I APP�ANT INFO TION: <br /> Name: (I(Yl, � <br /> Phone: �12 - 1 � I Fax: <br /> Address: �(,� Cit : n D ZIP: <br /> Contact Person: � ContacYs phone number ' � <br /> Email ( �. Applicant is: Contractor Homeowner <Q���ee�0��� <br /> . ) <br /> PROPERTY OWNER INFORMATION: �m f�u-�"g�� <br /> Name: �Q�l,� Cp0 <br /> Phone(day): C(y I 2.� �,.�.0 -- (p "] � G/ <br /> Mailing Address: ZIP: <br /> Email and/or Fax <br /> Overall Project Description: � �, � � re �a, � <br /> Check TYpE OF PERMIT <br /> Box COST* <br /> Dock, Commercial $50+ engineering review costs <br /> Escrow for erosion control and en ineerin review costs $2,000 <br /> Dock, Residential -Permanent dock on any lake or initial seasonal dock not $50 + engineering review costs <br /> on Lake Minnetonka ermanent dock re uires CUP <br /> Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge <br /> �, Also requires is a Minor or Major <br /> Land Alteration Permit <br /> Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards $50 <br /> or 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 $50+ engineering review costs <br /> ,x yards 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 <br /> �)� of wall) require a building permit. (Tiered retaining walls are considered one <br /> ' • w.all unless the walls are separated by twice the hPigh# �f the lawer wall.� <br /> Escrow for erosion control and en ineerin review costs $2,500 <br /> Stairway or Lifts 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 <br /> of 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. Pre-inspection required. <br /> Tem orar Construction Office/Trailer associated with buildin permit $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: January 2014 <br />