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. City of Orono <br />� Zoning Permit A lication <br /> MaAing Address: Permit number: �.f� �5'"�O 5 � <br /> �O/�rO PO Box 66 Date received: � s�3� l S <br /> ` � Crystal Bay, MN 55323-OQ66 <br /> Escrow#and j��� 1� ���� ��ti�'� <br /> Street Address: amount: <br /> y � 2750 Kelley Parkway Permit Fee: � �� <br /> ` Orono, MN 55356 J� <br /> �l,y E,�' APProved by: �/�✓J 'V /�J� <br /> KfsHa� Fax: 952-249�1616 <br /> Main: 952-249-4600 Notes: �>N•"�L 7 i'n` � Gi�iJ //`r'� ' `r <br /> www.ci.orono.mn.us <br /> This application form must be compfeted in full and all required information must be submitted. (Please print.) <br /> JobSiteAddress: �(no� ��LL`f l�V�l�i1)� ��ONO �� . <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: 13�L'ai�ER LA�JS?SCApE�,�NC <br /> Phone: `7(03� '17�•2038 Fax: NA <br /> Address: I f'�;n �,/v.Y1.,a.T.a [3�vD C�h+� Miu�itrG►.u�.0 Z�P= 553a5 <br /> Contact Person: KCn� BEG-I�ER ContacYs phone number �,�. �c�3•7g�D <br /> Email h�Ghlef'Iczncl� ,�:�C Applicantis: ontracto Homeowner �c�►cieo�e� <br /> G101.c.c�lYl ,���ERNATE CCNTACT� E�►7Ai.3Ei�-1 SEDbW�eK �e I <br /> PROPER7Y OWNER INFORMATION: ` - / � (ot2•8�2•7733 <br /> Name: SGOTT ` ,ILL Wic+E <br /> Phone(day)� jyp <br /> Mailing Address: ;p,y�S gT" ,c�v�uE H. Pi.YMe�u, nrt�l . ZIP: <br /> Email and/or Fax �cot-r����ilr @ o--��,�.ar,; <br /> Overall Project Description: r�EM�,�� = --;a;��u� , _ � � � r=� ��-��� ��-� a-rrac�-��s`�. <br /> - .- . : - .., �� --. <br /> z-�����::.t , ._ .,�� � <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 en ineerin review costs $2,000 <br /> Structure Permit for other structures not requiring a building peRnit 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-ins tion re uired. <br /> Tem ora Construction OfficelTrailer associated with buildin ermit $30 <br /> (OV@�) <br /> �`Permit fee will be collected when the permit is issued. <br /> Updated: January 2015 <br />