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� � Cit of Orono <br /> � . y <br /> Zoning Permit Application <br /> Mailing Address: Permit number: b1 —b�SD�o <br /> �D�O PO Box 66 Date received: '�',� 2� � <br /> Crystal Bay, MN 55323-0066 �� <br /> Escrow#and <br /> Street Address: amount: <br /> .� 2750 Kelley Parkway Permit Fee: O�'�� <br /> y�, � Orono, MN 55356 <br /> L Approved by: <br /> l�kFSH�Q'� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 www.ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: �����'t �Zic..�t, � O �C�{iJ E �p <br /> Phone: � Fax: <br /> Address: � Cit :Q ZIP: <br /> Contact Person: ContacYs phone number lpla�(, --�3'ZQ <br /> Email �,��Z� Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: ��� ��f�l�►-� ! �C'��� �E�+QNvt't�.� <br /> Phone (day): <br /> Mailing Address: Cz� ZIP: <br /> Email and/or Fax p� 1.�G <br /> Overall Project Description: '�� L N (N � ��AcLL �IN 5 �Ct D+� <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 permit $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: January 2014 <br />