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, ,� City of Orono <br /> Zoning Permit Application <br /> Mailing Address: <br /> Permit number: o��/ T —Dd �3� <br /> ���J PO Box 66 Date received: � o� <br /> I 0 Crystal Bay, MN 55323-0066 <br /> Escrow#and �� - � � <br /> Street Address: amount: �'—010 <br /> � �, 2750 Kelley Parkwa Permit Fee: <br /> yF � Orono, MN 55356 <br /> � `- Approved by: <br /> �KE 5 H���� Fax: 952-249-4616�� na� �� Notes: � <br /> Main: 952-249-4600 �^'W`�`��i.orono.mn.us � Id <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: 1 f(o��pQ,�L/�..�� `� � j Nl p , ����..� �5 3�y <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: ��FFS ��l4Mi���l���F�(�-C( <br /> Phone: '�G,'3—�1-- 777 Fax: �3' �'l?7'S'�`'l3 <br /> Address: 7 v Cit : ZIP:5�5373 <br /> Contact Person: ContacYs phone — 2� 7 7 <br /> Email STE�16@Lf�SLan 5�an�s•c.a.{�PPlicant is: ontractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: �n,,,� �.-'�'/�, <br /> Phone (day): — � <br /> Mailing Address: N�t(Qp ���Lg51' L.�-1,(F '�i �t[o�ORoC�t ri ZIP: �''3(e�/ <br /> Email and/or Fax �to�n b��.-fis4 @ c,r•ca i ��o,� <br /> Overall Project Description: p�,� �����'�h i t`t RF��`a--/�R n <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 /> vof 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 Office/Trailer(associated with buildin permit $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: January 2014 <br />