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� . � <br /> City of Orono �%,� <br /> . � Zoning Permit A lication <br /> Mailing Address: Permit number: ��� � 7 <br /> �.��0 PO Box 66 Date received: �d"3�� � <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: ��� e a(�-�'d �"� � �' <br /> � �, 2750 Kelley Parkway Permit Fee: ,3(J.a� (�yl �l <br /> G� Orono, MN 55356 <br /> �� Approved by: <br /> �k�aH��`� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 �•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: ���� �����1�'�� <br /> CONTRACTOR I APPLICANT INFORMATION: <br /> Name: - S /'� <br /> Phone: - OQp - Fax: <br /> Address: 9 C � O LU Cit : ZIP: <br /> Contact Person: ContacYs phone number C,�LL �'/Z - 36'6'- 5'B�1d <br /> Email ,�'jpllCd�� o /L Applicant is: Contractor Homeowner (ClrcleOne) <br /> o Co�•-� <br /> PROPERTY OWNER INFORMATION: <br /> Name: ,��/US�Dil1 D�9.S <br /> Phone(day): <br /> Mailing Address: /�'1 /�U Z�F: <br /> Email and/or Fax � hJ ON /°� � s <br /> Overall Project Description: /tJ6 /���/Z� � !�!v G/�S' <br /> CBoxk 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 ���� {d <br /> Escrow for erosion control and en ineerin review costs $2,000 Cc.IY�`� t-�t''� <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 watls 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-ins ection re uired. <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: January 2014 <br />