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. ZONING APPLICATION #14-3661 <br /> � .� �, ' . City of Orono <br /> Zoning Permit Application ��3�1 <br /> Mailing Address: <br /> Permit number: ��l ��� / � <br /> �0� PO Box 66 Date received: <br /> 0 Crystal Bay, MN 55323-0066 <br /> Escrow#and ,(,��� � � ,J <br /> Street Address: amount: `� �`� <br /> y �„ 2750 Kelley Parkway Permit Fee: �' ��' <br /> `� Orono, MN 55 56 <br /> �� Approved by: <br /> �kfSH��� Fax: 952-249-461 `�� Notes: <br /> Main: 952-249-4600 �"';, ` ' ' ' ' ' „ " '� <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> � ' ! <br /> � � . _ <br /> , , - <br /> 1,_ , - �, <br /> Job Site Address: iQ � - t i ` ` ` <br /> _ ,__ , / �_ , , . ; <br /> -- f <br /> CONTRACTOR I APPLICANT INFORMATION: <br /> Name: �,�CN'�_=�< '_�V�� �. ���:� � �" <br /> Phone: 7�s-a'7S� 2p3�3 Fax: N� . <br /> Address: 12850 WAYzATA C-��vD, City: M�!��,'=TONi��\ ZIP: �;hzp� i�r=1� <br /> Contact Person: e. (��„��.ET,� s�pvw;�,.�� ContacYs phone n ber ��? g;2 �7�1,z <br /> Email bech�'�e r�r�r,c;��Cc�:����" �a�,`,. Applicant is: �� Contractor Homeowner �c���ie o�e� <br /> ;:r;i, <br /> PROPERTY OWNER INFORMATION: <br /> Name: � ,C"D�[ WIU��� <br /> Phone (day): ��3 5�2 o�oC� �Powk�=: : <br /> Mailing Address: 185�5 �3�'' AvE�i�E n�. PLYn�n�rru �l�i�.r,�.-;rrq ZIP: �sqq7 <br /> Email and/or Fax � co+-fwwir�C� aol corr-� <br /> Overall Project Description: ��F� <-, - - -,/,�,;y ' <br /> � A"�;, .�'�ki i �l'w"" � ''A ' � �/ %�241��h1/�wIT�1.17� <br /> L7EDRLOCk ON SLO C-TD Pk�-�lf_hi�t i�:�"!Ot�� <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 w�ll.) <br /> Escrow for erosion control an� en ineerin review costs $2,500 <br /> Stairway or Lifts to Lake(New or Replacement) $50+ engineering review costs <br /> 1� 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 /> Tempora Construction Office/Trailer associated with buildin permit $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: January 2014 <br />