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� � <br /> ti��� o� <br /> City of Orono �� � � � <br /> Zoning Permit A lication <br /> Mailing Address: Permit number: ��� "d l� 9� <br /> �Q� PO Box 66 Date received: /�'oZ-(o"�OZ. <br /> O O Crystal Bay, MN 55323-0066 Escrow#and <br /> Street Address: amount: d�� �� �Q �� <br /> � � 2750 Kelley Parkway Permit Fee: a� O � �� <br /> �� p� Orono, MN 55356 <br /> .�.�x0.�y,w Approved by: <br /> Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 `h^rvw•ci.orono.mn.us <br /> This application form must be completed in full and all r quired information must be submitted_ (Please prinf.) <br /> Job Site Address: Vv <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: A S S u.GE,c� �}S P.�.�-G T ' <br /> Phone: �'S'Z, �!' Q.�/Z Fax: <br /> Address: 7�¢0 ���,p��,4 �`',�,4/G City:L"�(,R.r/�S.S�-,!/ZIP: SS3/�� <br /> Contact Person: ,j�,��c� /L.s�S E.� Contact's phone /2 �f' .st��, 2� �� <br /> Email N/q- Applicant is: Contractor Homeowner (Clrcle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: �Ry W!<Sa.t/ <br /> Phone(day): �0 2 SSO �,�2 8 <br /> Mailing Address: ,s' �� GE ZIP: <br /> Email and/or Fax fZ�Psvit�sCyt/ j)Eto�7T�r-, ca� <br /> Overall Project Description: ,�i1iv,�tiv�� <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 ermanent dock re uires CUP <br /> Dock,Commercial $50+engineering review costs <br /> Escrow for erosion control and en ineerin 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 Alte�ation, 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 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 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 $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 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: April 23,2012 <br />