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� . . City of Orono ' � <br /> � Zoning Permit Application <br /> Mailing Address: Permit number: � / <br /> �D�O PO Box 66 Date received: — .Z � <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> y �„ 2750 Kelley Parkway Permit Fee: <br /> G� Orono, MN 55356 <br /> �� Approved by: <br /> �Kf S H��� Fax: 952-249-4616 <br /> Main: 952-249-4600 W`�vw.ci.orono.mn.us Notes: `--2 T�,�s �� p �,� �/ _ <br /> J�7�4fU0-0-�`g <br /> This application form must be completed in full and all required information must be submitted. (P/ease print.) <br /> Job Site Address: /�� � ��°rN�G, �� ]�c� - vV• <br /> CONTRACTOR I APPLICANT INFORMATION: <br /> Name: OS-i-V16 Tt'¢e ��c r� <br /> Phone: �� fjl , ! . 6S' Fax: <br /> Address: l lh/ �. !�t/�yZti q 8f✓c�• CitY: a yZ�, Z1P:S,3'��'/ <br /> Contact Person: Scotr Leioh�c�rv� Contact's phone number ' <br /> Email S�o{{� � @ �s-}�V%q '�r'f�•c�»1 Applicant is: C�t�r Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: �o � �r o O� <br /> Phone (day): , t�� <br /> Mailing Address: ZIP: <br /> Email and/or Fax r b r..�, o��d e� S i � -. C J�'►'L_ <br /> Overall Project Description: S'�v��r- � ti,rY�2 0� �o�v��-y %11 1'ti����� d��� '� � �l"�!loU�, <br /> � <br /> �BoXk TYPE OF PERMIT 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 /> 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 /> wall 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 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 /> Temporar Construction OfficelTrailer associated with buildin ermit $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: January 2014 <br />