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Z `- � <br /> � City of Orono <br /> Zoning Permit Application <br /> Mailing Address: Permit number: ��l 3 ��o 7 �� <br /> �0�� PO Box 66 Date received: t2 ( <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and q�� <br /> Street Address: amount: •I <br /> � �, 2750 Kelley Parkway Permit Fee: �`� <br /> y � Orono, MN 55356 <br /> �! �' Approved by: <br /> qKfSN��� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 W`�`i`N•ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. (P/ease print.) <br /> Job Site Address: �J S �Z i �� ���� � � �''�-�' <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: �u.�r%�f'�� �..�k.� <br /> Phone: � L L�i L ZS Fax: <br /> Address: ?iS 3 Z- l.Jv1 l�t City: (��"U�1c; ZIP: �;�"3�? ( <br /> Contact Person: (�,� W i � ��, �_ ContacYs phone number f� l L �FG� �' t <br /> Email ,c v�.c11-�czvt _ �:i+.��z-22 Applicant is: Contractor Homeowner � (Circle One) <br /> �,l C�d'�el i 1 .L:�.vl �-t�,� •t ^'v f� -�'l�''1 • G�- <br /> PROPERTY OWNER INFORMATION: ` � �.r �� <br /> Name: ���►c,: ti..v� �,�-(— <br /> Phone (day): <br /> Mailing Address: ZIP: <br /> Email and/or Fax , ,(� <br /> Overall Project Description: ��� <br /> \���`� <br /> Check � <br /> Box � 'OST* <br /> Dock, Resic; \��� ���� �+� � + engineering review costs <br /> Lake Minnetc �\ � Q,��"' <br /> Dock, CommE " engineering review costs <br /> Escrow for erc e� • _ � � � <br /> Hardcover Pern � �� ,(�� rge <br /> Also re uired is a �'" �\\�-- � �`��� <br /> Land Alteration, n n\���,� � . V <br /> more than 10 cubic v� <br /> Escrow for erosion c. � �' �ed b CUP <br /> Land Alteration, Min � - -`,� � �QQ�. �ering review costs <br /> � outside of lakeshore se �V,A-` �� �"- <br /> �.,- � < <br /> Escrow for erosion cor, • n`� <br /> Retaining Wall measurir `I`�' � � �g review costs <br /> Retaining walls measurin5 � <br /> � wall) require a building pen ��\�,�\ <br /> unless the walls are separal 6 \�C.,,,V' <br /> Escrow for erosion control a� ��\` _ .,�� <br /> Stairway to Lake (New or Re � �-i� $50+ engineering review costs <br /> Escrow for erosion control and `IIp / $2,000 <br /> Structure Permit for other stru� Vl�( ,��c but $50+ engineering review costs <br /> regulated by the zoning code (inc, �(��, � � .,.;essory building of <br /> less than 120 square feet, detache �%�\1 - and sport court) <br /> Escrow for erosion control and en ,��w costs $2,500 <br /> Tree Removal or other ve etation .,�val 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 <br />