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City of Orono � � ° <br /> .--------- ----- -- . - — --�� -Z: <br /> � �Zoning Permit Application <br /> �, Permitnumber: p�0 � ��—��5d� . <br /> Mailing Address: ( <br /> �Q J��, PO Box 66 Date received: <br /> �r Crystal Bay, MN 55323-0066 <br /> � � Escrow#and � ' <br /> � StreetAddress: amount: � (�� <br /> �? 2750 Kelle Parkwa �•� <br /> Y Y Permit Fee: <br /> ��� G�F Orono, MN 55356 . <br /> 9kEgH0�,�' Approved by: � <br /> Fax: 952-249-4616 Notes: c�� „� Q,� <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: y�j� �To��„�� Ko� (�r-a+np; V�/U �53yto <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: G�-,�e.rsfi�,.-,p ;I•..ol., _,.« . <br /> Phone: ..1 -yz -'�3 +- Fax: <br /> Address: a o x 3�� City: C,��.ls��� ZIP: 5°5 33 t <br /> � Contact Person: ;,„�„ L��c-tt- Contact's phone p. ber ��Z zz� �3 y-�. <br /> Email G�', �,.;.,�,��p;��� �q�oo, Applicant is: ontracto Homeowner (Clrcle One) <br /> Gu•M <br /> PROPERTY OWNER INFORMATION: � � � <br /> Name: _�.,�s S�t��me.� � <br /> Phone (day): ' �iZ_�;i -,�q�S <br /> Mailing Address: �j$$ ��,�,,,,,��2d. ,c�ro�o „�,�,,� ZIP: �5��(0 <br /> Email and/or Fax <br /> Overall Project Description: ��..tiovai o-� �c�.v�o�3cr—iDe � �'�P�o_�cw.�v�� �-�' ��0�3���2 L.�tivf��� ., <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 /> �y Permit(New or Replacement) � No charge <br /> Also re uired is a Minor or Ma'or Land Alteratio � ermi <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 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 /> 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 />