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--� . . � City of Orono
<br /> , Zoning Permit Application
<br /> ' Mailing Address:
<br /> Permit number: �f�/ — l�(�(o
<br /> �Q� PO Box 66 Date received:
<br /> \ Crystal Bay, MN 55323-0066
<br /> Escrow#and
<br /> ����, � � amount: � /v��
<br /> ��� ; .� I Street Address: �� D
<br /> `� �' o;°4> � � 2750 Kelley Parkway Permit Fee: �
<br /> �� �� '�� p� Orono, MN 55356
<br /> '�.y 4,� Approved by: �
<br /> kEs_H� Fax: 952-249-4616
<br /> Notes:
<br /> Main: 952-249-4600 �•ci.orono.mn.us
<br /> This application form must be completed in full and all required information must be submitted. (Please print.)
<br /> GENERAL INFORMATION: r /, f� j
<br /> Job Site Address: >�fo.,�� y <<��s �.�` �r�.-,� ���6 /�F��,� ✓��/fct,-,,• C��-,-, �'�?,
<br /> CONTRACTOR/APPLICANT INF TION:
<br /> �
<br /> Name: � .,�� � Q� - y�
<br /> Phone: °' � Fax:
<br /> Address: �2�� ���,:�.� /,�,/ S City: G..�,y r � �',+��, ZIP: '�-j- S3"3i�
<br /> Contact Person: Contact's phone�r
<br /> Email �+�,;,���;�,,,,,.r-��,,,Psdt —�`����Cr--�-- Applicant is: Contractor Homeowner (Circle One)
<br /> PROPERTY OWNE�j INFORMATION: /'
<br /> Name: L",�'r��. S ����r-�_�n� ����� I ��<r'i Prn 'Jf c!-vw•,.v'/
<br /> Phone (day): �3 � �' — �-T'
<br /> Mailing Address: S��,�� ��,1. �,��5 y - �,_,,y ��/t r�`� ZIP: S�<//�
<br /> Email and/or Fax a �`� _
<br /> Overall Project Description: 7���� �- f�,�r ���, �� ��r s,�-�_ � ���/�� ,
<br /> Check TYPE OF PERMIT
<br /> Box COST*
<br /> Dock, Residential - Permanent dock on any lake or initial seasonal dock not on $30 + 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 $30
<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 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 intensive 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 />
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