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, <br /> Gity of Orono <br /> Zoning Permit Application <br /> MaiJing Address: /� <br /> Permit number. ��l'�/�� U <br /> O��J�,.O PO Box 66 Date received: "1 � l <br /> �r Crystal Bay, MN 55323-0066 <br /> Escrow#and � � �� �/ <br /> Sfreef Address: amaunt: 1„Ob� l,rpV� <br /> '� ti 2750 Kelley Parfcway Permit Fee: �� <br /> �c� ' " p� Orono, MN 55356 <br /> L�'ESIiQ¢� Approved by: <br /> Fax: 952-249�616 Notes: <br /> Nlain: 952-249-d600 �•ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. (P/ease print.) <br /> GENERAL INFORMATION: <br /> Job Site Address: /98f F�l��t�t'S 1�oi��' /2o�d <br /> CONTRACTOR 1 APPLICANT INFORMATION: <br /> Name: /jZw/K4w /'�R��6s <br /> Phone: 3/O—�tol— ASRq Fax: <br /> Address: lRSC' l�o�we�s l�tL�- awJ Gity: O�t� ZIP: s;J�t / <br /> Contact Person: Contact's phone number <br /> Email �N���(s�fc�t��,�„�,�N,. Applicant is: Contractor omeown (Clrcle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: f... .�r al.�� <br /> Phone(day): <br /> Mailing Address: ZIp: <br /> Email and/or Fax <br /> Overall Project Description: f}c�i•� �ccsfs f.+ Fx..•f- s..�,.� tw.» �..%ew�.. <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) ' j <br /> ; Escrow for erosion control and engineering review costs ' As determined by CUP ; <br /> �I Land Alteration, Minor(grading,filling or excavating)—500 or less cubic yards $50+engineering review costs , <br /> outside of(akeshore 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 /> i wall)require a building permit. {Tiered retaining walls are considered one wall <br /> I 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 buiEding of <br /> less than 120 square feet, detached deck or platform and sport court) <br /> Escrow for erosion control and en ineerin review costs $2,5o0 <br /> Tree Removal or intensive ve etation removat in 0 to 75 foot zone No char e. <br /> ����� � <br /> 1/ �,{`,�,����� r{� *Permit fee will be collected at <br /> <1K' U'IJV� lJ��� the time the permit is issued. <br />