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� City of Orono <br /> . �, <br /> ` ,~- Zoning Permit Applica#ion <br /> Mailing Address: Permit number: O � —�� a � <br /> .Q,Q JI� PO Box 66 Date received: � " O'� —�� <br /> Y �`V Crystal Bay, MN 55323-0066 <br /> Q _ Q Escrow#and <br /> �" ..m Street Address: amount: <br /> '� ' �" 2750 Kelley Parkway Permit Fee: <br /> �t�t " '3 �p�� Orono, MN 55356 A roved b : <br /> 9kE3H�4' PP Y <br /> - Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 �ci orono.mn.us <br /> This application form must be cgmpl�et-e`d�in�fu�l�l and al1 required information must be submitted. (Please pnnt.) <br /> Job Site Address: ��.�Q n �,,pvE,. l�N� LONC._-� (;,��� (�N . <br /> CONTRACTOR I A ICANT INFORMATION: <br /> Name: �.. <br /> Phone: Fax: <br /> Address: Cit : hst� ZIP: 53 <br /> Contact Person: ContacYs phone number �'��-?3^`3�..�.a-- <br /> � <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: `�t,�S'C''l�J �1oZt�t'cS�T <br /> Phone (day): (�� ��J�,�'�''�' <br /> Mailing Address: ���5 G�tiS�R-u�'1 o N ,4�(.')CJ . Z�P: <br /> Email and/or Fax <br /> Overall Project Description: ��,ar� �� �� t.�,J f�iv��-�n� <br /> CBoxk TYPE OF PERMIT COST* <br /> Dock, Residential— Permanent dock on any lake or initial seasonal dock not on $50 + engineering review costs <br /> Lake Minnetonka ermane t dock re uires CUP <br /> Dock, Commercial $50+ engineering review costs <br /> Escrow for erosion c rol and en ineerin review costs $2,000 <br /> Driveway Permit(Mew 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�ess 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+.�ee� <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 twice the height of the lower wall.) <br /> Escrow for erosion control and en ineerin review costs � <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 /> (over) <br /> *Permit fee will be collected at <br /> the time the permit is issued. <br /> Updated: December 30, 2011 <br />