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<br /> , � City of Orono
<br /> Zoning Permit Application
<br /> O Mailing Address:
<br /> Permit number. �L,3 — �
<br /> � � PO Box 66 Date received: �—Z�J' ""�
<br /> � Crystal Bay, MN 55323-0066
<br /> Escrow#and
<br /> Street Address: amount:
<br /> � >., 2750 Kelley Parkway Permit Fee: �5D �- Q .�=� �- $G�
<br /> F : Orono, MN 55356
<br /> �q �,�' Approved by:
<br /> Kf S H�� Fax: 952-249-4616 Notes: 4�
<br /> Main: 952-249-4600 w`^�^'�ci.orono.mn.us "w �
<br /> � U.CVv
<br /> This application form must be completed in full and all required information rr� be submitted. (Please print.)
<br /> Job Site Address: f �j �� ��7� �-�-��
<br /> CONTRACTOR I APPLICANT INFORMATION: I I
<br /> Name: �ju...rk-.+ �,��w t�-a�j
<br /> Phone: �7C� 3 -E 7$ - ��3 zc� Fax:
<br /> Address: /3(�-�:; �,�L .•�-��t City: �(� ,,�u ZIP: S�3�G
<br /> Contact Person: +..`.�L� Contact's phone number Zo I Z - 3 53� � �Z 3�
<br /> Email L►,,,«��i,>5,,,,�x;,,,,,�..�-,ti.cs�_ ��,...�qpplicant is: ntractor Homeowner (CircleOne)
<br /> PROPERTY OWNER INFORMATION: fi
<br /> Name: Y'11`�. d- �-�_:.�� -��f? C� LS�M-'
<br /> Phone (day): CQi 2 • 7 7C � 7
<br /> Mailing Address: � ZIP:
<br /> Email and/or Fax � b '�y..3 d I,�v�, . �v
<br /> Overall Project Description: �� � � � .
<br /> Check TYPE OF PERMIT
<br /> Box COST*
<br /> Dock, Residential — Permanent dock on any lake or initial seasonal dock not on $50 + 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 /> Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge
<br /> Also re uired is a Minor or Ma�or Land Alteration Permit
<br /> Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards or $50
<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 /> l/ 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 other ve etation removal in 0 to 75 foot zone No char e.
<br /> Tem ora Construction Office/Trailer associated with buildin ermit $30
<br /> (over)
<br /> *Permit fee will be collected when the permit is issued.
<br /> Updated: November 30,2012
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