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4 <br /> � . City of Orono <br /> Zoning Permit Application <br /> Permit number: �l � �6 <br /> �O�O Mailing Address: <br /> PO Box 66 Date received: � ' ��� <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and ,r _ /�� �� ' <br /> Street Address: amount: IV Vl <br /> "�, ,a, 2750 Kelley Parkw 8„ Permit Fee: <br /> S'�, ` Orono, MN 55356 <br /> ��L 1 Approved by: <br /> `�kfSHO Fax: 952-249-4616C �'�� Notes: <br /> Main: 952-249-4600 W`^'�^'•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: �'�_�� �� �J���� <br /> CONTRACTOR I APPLICANT INFORMAT�� � I_(� !^�G _��� <br /> Name: -�_�—�--�4. � �P U� ✓ <br /> Phone: (��j�Z ��sc; ��-��• Fax: ,- _ _- <br /> Address: - � Cj� �� Cit ' ' ZIP: S <br /> Contact Person: � ContacYs phone number <br /> Email �^���,�{kv �;���i Lh�'�y Applicant is: Contractor Homeowner (Circle One) <br /> -j�`'�'���, <br /> PROPERTY OWNER N ORMATION: <br /> Name: � ��� ��� sla <br /> Phone (day): —�i� "� f� <br /> Mailing Address: ���� ����- �' � ZIP: ��'�i�(�, <br /> Email and/or Fax <br /> Overall Project Description• �� �- � '—"'��% ��,���t� <br /> �--� <br /> � <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 permanent 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 /> 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 /> Tree Removal or other ve etation removal in 0 to 75 foot zone No char e. Pre-inspection required. <br /> Temporar Construction OfficelTrailer associated with buildin permit $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: January 2014 <br />