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, � , City of Orono <br /> _ , . . . <br /> Zoning Permit Application <br /> Mailing Address: Permit number: � ' � <br /> ���0 PO Box 66 Date received: S-� '�! - / <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and y�(� <br /> Street Address: amount: 1 V <br /> y �, 2750 Kelley Parkway Permit Fee: � <br /> �, G� Orono, MN 55356 <br /> � Approved by: <br /> �Kf S H��� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 `^"�`iW•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� ��� '��`�'e'�' <br /> CONTRACTOR/APPLICf,ANT INFORMATION: , <br /> Name: '1 L �..,�'���, <br /> Phone: T "" j Fax: <br /> Address: ':n � � � jUY �-- Cit : ZIP: <br /> Contact Person: 1.� Con acYs phone number <br /> Email � L�� ' , Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: �..i�rh.�-lviv�..� ��/}f`1. t�:7N'► �; I��-.1 �: h �i��i�+Z <br /> Phone (day): <br /> Mailing Address: Ny�� -�r-ze1,� � r.�� _; (2�.�, ZIP: <br /> Email and/or Fax �� j L� "F <br /> Overall Project Description: !'���y�,� ��!�t (:�lp �Pt �D �✓rt�.��ac'Y�-��S��J')�Ll,�z, �G'E,�C�i c�'i7�HC. f�L-741�fr�: , <br /> i.�.'�^ , �v'J � ,;�rr r ' f=, �tR L. �'�'e ��I�� L� �-� L/t�11 G>`i�..i�::. (��:7' r�.t �;.�Nt <br /> Check TYPE OF PERMIT COST* �'" `'�� �g <br /> Box <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 ermanent 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�DD----- -- -- - ----.. <br /> Retaining Wall measuring under four feet require a zoning permit. $50+ engineering review c� <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 Office/Trailer associated with buildin permit) $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: January 2014 <br />