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/`" � . <br /> , � , City of Orono c� '�z� � <br /> Zoning Permit Application <br /> Mailing Address: Permit number: ZD " �G'7 LO <br /> ��� PO Box 66 Date received: J�' � '�� <br /> 0 Crystal Bay, MN 55323-0066 � �f � <br /> Escrow#and L <br /> Street Address: amount: � I <br /> .a �„ 2750 Kelley Parkway Permit Fee: � <br /> S' ` Orono, MN 55356 <br /> �� �' Approved by: <br /> �Kf S H 0�� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 `^'WW�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: ,�'G�e'j " G-64F STie EE�r <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: /�/�iR�l�Sv/��2.�' ��GLeb�•v � <br /> Phone: � � Fax: <br /> Address: Cit : ZIP: <br /> Contact Person: ' / ContacYs phone number <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: ,fjC�✓' 6�4,/�w.�l✓ <br /> Phone (day): �� , y73 �g'�D �G�i ?.'�, fl7 5^D <br /> Mailing Address: �G�' �.�Fs„ST- Z�P� -�-.�s� <br /> Email andlor Fax T <br /> Overall Project Description: rc�.-x� F,�r i3 i%�c �.�.�vc�R �KI� d� �Qw/,� �DLALFMg�t' <br /> —G /v0 N��OQ ; b �ezq�M+✓F'�.,/�l.V� <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 /> 7., 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 /> C� 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 /> Tempora Construction OfficelTrailer associated with buildin permit $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: January 2014 <br />