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City of Orono <br />� � Zoning Permit Application <br /> Mailing Address: <br /> Permit number. �'/�—� �`�' <br /> ���0 PO Box 66 Date received: �l 7 � <br /> Crystal Bay, MN 55323-0066 " --- -------- <br /> --- <br /> � Escrow#and ^7 D�� �d � -�/n <br /> Street Address: amount: `"�� (y� (� � <br /> ,� � <br /> � �„ 2750 Kelley Parkway Permit Fee: h� --- �_`" <br /> �, G� Orono, MN 55356 � <br /> � Approved by: -� �� <br /> �kFSHO�� Fax: 952-249-4616 Notes: <br /> fVtain: 952-249-4600 W`+��v.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: ;�'S��7 �'1�'���/ �✓�i- <br /> CONTRACTOR I APPLICANT INFORMATION: L�rvDSC li S��'�� ��S <br /> Name: Ic�ON wj'SG H l`�R�it /��'✓� �/� <br /> Phone: !Z� 3'KZ � 3 vt� Fax: <br /> Address: �iZ ��� 1�Z� � �2 . Cit : pJ�rJS'l�'iO ZIP: $�S.�iS <br /> Contact Person: �SG' �-1(. ContacYs phone number 75'L — y7 '�! �-- Ef6 S8 <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: z�!Q�I '�i ���� l C/L SU��i <br /> Phone (day): �[z� 70l — �77y <br /> Mailing Address: o'��'O'7 < u� �'X�Fi'c-5 vr��. ZIP: <br /> Email and/or Fax ��Fiyrtn v►1 S/6ivS o /'f'1 SN• C6►"�/ <br /> Overall Project Description: �—�Jq✓fi' �i,SrTi�C, �,��✓�'wA;✓ <br /> �BoXk TYPE OF PERMIT COST* <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 $2,000 <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 <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 /> Tem orar Construction OfficelTrailer associated with buildin ermit $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: January 2014 <br />