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City of Orono <br /> Zoning Permit A lication <br /> MailingAddress: Permitnumber D/ - ��� <br /> ��� PO Box 66 Date received: 1 ' • �� <br /> � Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amourrt: <br /> y �, 2750 Kelley Parkway Permit Fee: �� <br /> � Orono,MN 55356 <br /> � �G Approved by: <br /> q'�ESH�� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 W`�✓�ci.orono.mn.us <br /> This application form must be completed in full and all required infortnation must be submitted_ (P/ease print.) <br /> L <br /> Job Site Address: � � . � i � � �..�r� � ' ; e, > <br /> CONTRACTOR/APPLICANT INFORMATION; <br /> �. <br /> Name: (�, � � (� , �� ��1/�_ ? ' <br /> Phone: , " ;{ , . � "� Fax: N .` <br /> Address: � - �. �::`� ' Ciry: , ZIP: ``.``. � , <br /> Contact Person: � ; . - • c� Contact's phone number !' ' ' � ' ' ` <br /> Email , ,•. ,�I�.. ,; .,', ;,�Applicant is: Contractor (Homeowner �c�.��o�e� <br /> PROPERTY OWNER INFORMATION: <br /> Name: � <br /> Phone(day): <br /> Mailing Address: Z�P� <br /> Email and/or Fax <br /> Overall Project Description: , `..� �_' � <br /> �BoXk 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 rev�o�••--;ts <br /> Escrow for erosion control and en ineerin review costs ��^^" <br /> ,�, Hardcover Permit: Driveway, Patio, Sidewalk, Eta (New or R�^'-- <br /> Also re uired is a Minor or Ma�or Land Alteration Permit <br /> Land Alteration,Major(grading,filling, or excavating) more � �� ������--C L'� <br /> more than 10 cubic yards in lakeshore setback(also requires � <br /> Escrow for erosion control and en ineerin review costs �✓ �� ��� <br /> Land Alteration, Minor(grading,filling or excavating)-500 oi <� �0 �� �r� � � � � <br /> � outside of lakeshore setback or less than 10 yards in lakeshore G- ��,LZ ({�u.l� <br /> Escrow for erosion control and engineerin review costs ��2_ �1�(.- � <br /> Retaining Wall measuring under four feet require a zoning pen � �y � <br /> Retaining walls measuring more than four feet(from bottom of f ���,� y;(.,U•�-( �� <br /> wall) require a building permit. (Tiered retaining walls are consic <br /> unless the walls are separated by twice the height of the lower w <br /> Escrow for erosion control and en ineerin review costs <br /> Stairway to Lake(New or Replacement) <br /> Escrow for erosion control and engineering review costs <br /> Structure Permit for other structures not requiring a building per <br /> regulated by the zoning code(including, but not limited to accessc <br /> less than 120 square feet, detached deck or platForm and sport co� <br /> Escrow for erosion control and en ineerin review costs <br /> Tree Removal or other v etation removal 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 />