2010-00615 - land alteration - Laserfiche WebLink

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OK � iss�i C T 7/2��!O � , , �Q p�,rr d in sPn c.h�ns: � City of Orono oErosr� �h-o� -b-e..�►'e- h@k��►N+n� Zoning Permit Application �,�� „�sp��!-c�: Mailing Address: Permit number: v O -� � /.¢,�\ PO Box 66 O Q\\ Crystal Bay, MN 55323-0066 Date received: � /O �`''<""' � �I Escrow amount: p� �� .� a ,!�� ,i� Street Address: � �--~ '�'.�, ,�.�� 'ti 2750 Kelley ParkwaY Permit Fee: � S� t � � Orono, MN 55356 9kEsi;o�`' ___= Received by: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. (Please print.) GENERAL INFORMATION: / @Z �� Job Site Address: � C� � ��X CONTRACTOR/APPLIC N I FORM TION: � Name: � s / � C�f�T� Phone: - —�� r Fax: ys�- S9l- CV Address: � v Cit : Lpv� ZIP: ` Contact Person: ContacYs phone number - Email -'" ' �,=� :� Applicant is:�Gontractor ❑ Homeowner (Circle One) � i �. C�( PROPERTY OWNER INFORMATION: /�� ` ` �/ � Name: it"�. v,v� �,��' K�! - � Phone (day): T - -- � -.3 Mailing Address: ��,�j F�y k 5 ��i�L ZIP: �- �� Email and/or Fax ` Overall Project Description: /�2/o c/��e. �r�uP�u� Check TYPE OF PERMIT COST Box ❑ Residential Dock-Permanent dock on any lake or initial seasonal dock not on $30 + engineering review Lake Minnetonka ermanent dock re uires CUP costs ❑ Commercial Dock $50+ engineering review costs Escrow for erosion control and en ineerin review costs $2,000 � Minor Land Alteration (grading, filling or excavating)-500 or less cubic yards $50+ engineering review outside of lakeshore setback or less than 10 yards in lakeshore setback costs Escrow for erosion control and en ineerin review costs $2,000 ❑ Major Land Alteration (grading, filling, or excavating)more 500 cubic yards or $30 more than 10 cubic yards in lakeshore setback (also requires CUP) Escrow for erosion control and en ineerin review costs As determined b CUP ❑ Stairway to Lake $50+ engineering review costs Escrow for erosion control and en ineerin review costs $2,000 Retaining Wall not requiring a building permit (A building permit is required for any $50+ engineering review ❑ retaining wall that measures more than four feet from bottom of footings to top of costs wall. Tiered retaining walls are considered one wall unless the walls are separated by twice the height of the lower wall.) Escrow for erosion control and en ineerin review costs $2,500 Tree Removal or intensive ve etation removal in 0 to 75 foot zone No char e. Structure Permit for other structures not requiring a building permit but regulated $50+engineering review ❑ by the zoning code (including, but not limited to accessory building of less than 120 costs square feet, detached deck or platform and sport court) Escrow for erosion control and en ineerin review costs $2,500 (over)