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. , �rCEIVED City of Orono <br /> " � ' �'FF' ' � �0�4 Zoning Permit Application <br /> OF ORONO Permit number: �/ '" O d <br /> O Mailing Address: <br /> PO Box 66 Date received: 9 � <br /> � � Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> � �a, 2750 Kelley Parkway Permit Fee: <br /> �, � Orono, MN 55356 <br /> ( �' Approved by: <br /> �kf S H��� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 W`�✓`N.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: � �`� h �i���'Lj � `� �1C" <br /> CONTRACTOR I APPLICANT INFORMATION: <br /> Name: <br /> Phone: Fax: <br /> Address: City: ZIP: <br /> Contact Nerson: Contact's phone number <br /> - ---- --.—_.___.__ --- <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: � � <br /> Name: � �11 d ��� � ( ��� <br /> Phone (day): 1 ' �] - <br /> Mailing Address: ) �� ZIP: -.� <br /> Email and/or Fax <br /> Over II Pr ject-Descri tion:� �i� S 1 � � � �� C lrl" E� � E'��4���, {�L <br /> (7 � �� s� � �, <br /> ; <br /> �' heck� TYpE OF PERMIT <br /> Bo . : ��� (� nc t�lrev', cosT* p�fi Z�� - <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 $2,00� <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 /> 'j` �� '/,� Tree Removal or other ve etation removal in 0 to 75 foot zone No char e. Pre-inspection required. <br /> Tempora Construction Office/Trailer associated with buildin ermit $30 <br /> (over) <br /> ' *Permit fee will be collected when the permit is issued. <br /> Updated: January 2014 <br />