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', �, . City of Orono � <br /> '-- �oning Perrnit Application <br /> Mailing Address: Permit number: D / —O O � 7 <br /> �Q� PO Box 66 Date received: �� -�—/oZ� <br /> O O Crystal Bay, MN 55323-0066 <br /> Escrow#and � <br /> Street Address: amount: <br /> �, � � 2750 Kelley Parkway Permit Fee: t ' ��� �' <br /> MN 55356 <br /> �� �G� Orono, Approved by: � • <br /> ����4 Fax: 952-249-4616 Notes: � . <br /> Main: 952-249-4600 �•ci.orono.mn.us <br /> This application fo�m must be completed in full and all cegui�ed inf�rmation must be submitted. (Please print) <br /> Job Site Address: � � , <br /> , , <br /> CONTRACTOR PP A FORMA ON: . <br /> Name: <br /> Phone: 2— � Fax: � '� <br /> Address: � 7 C� ¢ Y Cit : vti•R— ZIP: C7 <br /> Contact Person: Contact's phone number Z— <br /> Email „ ,,C,c�lApplicant is: Contractor �ci��ie o�e> <br /> PROPERTY OW ER ORMATION: `L�� <br /> Name: <br /> Phone (day): ��' � ZIP: <br /> Mailing Address: b <br /> Email and/or Fax '.; . °G <br /> Overall Project Descripti n: ��� �L 4 �Gt— <br /> Check TYpE OF PERMIT COST* <br /> Box <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 ineering review costs $2,000 <br /> Driveway Permit(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 ineering 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 /> wall) require a building permit. (Tiered retaining walls are considered one wall <br /> unless the walls are separated by finrice 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 plaiform 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 /> � (over) � <br /> *Permit fee will be collected at <br /> the time the permit is issued. <br /> Updated: December 30,2011 <br />