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<br /> � � City of Orono
<br /> � Zoning Permit Application
<br /> Mailing Address: Permit number: p2f��D�� rp
<br /> �0� PO Box 66
<br /> 0 � �Q�, Crystal Bay, MN 55323-0066 Date received: �� � d
<br /> �';^,,,,_ �
<br /> ,� ' 1 �� s, ! Street Address: Escrow amount:
<br /> � � ��`'"'
<br /> \� � �ti 2750 Kelley Parkway Permit Fee: , �
<br /> `�gEs��`'�� Orono, MN 55356
<br /> ---'� Received by: ,
<br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us d. �- p,��P.� �y�`d•
<br /> This application form must be completed in full and all required information must be submitted. (Please print.)
<br /> GENERAL INFORMATION:
<br /> Job Site Address: /J:�•S� L o„�,/G /o �/�� Ora.�o
<br /> CONTRACTOR/APPLICANT INFORM ION:
<br /> Name: ��,��a,., �vri,.�Z ,..�;�,.4.-�
<br /> Phone: 6>�- �.�� •�t-o�� C�.1f u:n�r �Ca� it Fax:
<br /> Address: ypo E /�,r�, ��'� City: �tij,r,/J ZIP:��- yo8
<br /> Contact Person: �"�,,,.��� ContacYs phone number �,�. �.�� -�ra s�
<br /> Email �,`�„U,.��,,, � �',�,,,,��2�id'har.Co�PPlicant is: Contractor Homeowner (Circle One)
<br /> PROPERTY OWNER INFORMATION:
<br /> Name: G'/a. I=�c,�� .�-f� 2�.�,`�; ..✓�.,,�.�.i'
<br /> Phone (day): �s/•�,�/•�-6 q� L ��• Soi• yooq
<br /> Mailing Address: 3' J' L j�I I n ZIP: S�
<br /> Emailand/orFax [GLiI/yD � c.o/- Cow�
<br /> Overall Project Description: ��P���� �,��,� � y-;},�„�, S�+c�s a,,,"� �-w v c c�a.�Se-c�t�c�,r��
<br /> �Y Ce��.��«k� o„ -�k�b� ��,...,c. A�c ��,,6�."t�r-r.� s¢r,„�/�i.J.
<br /> �/
<br /> ����tr d�c. �c� �l`cu�-y�n_
<br /> Check TYPE OF PERMIT COST
<br /> Box
<br /> Residential Dock- Permanent dock on any lake or initial seasonal dock not on $30 + engineering review
<br /> Lake Minnetonka ermanent dock re uires CUP costs
<br /> Commercial Dock $50+ engineering review
<br /> costs
<br /> Escrow for erosion control and engineering review costs $2,000
<br /> Minor Land Alteration (grading, filling or excavating)-500 or less cubic yards $50+ engineering review
<br /> outside of lakeshore setback or less than 10 yards in lakeshore setback costs
<br /> Escrow for erosion control and en ineerin review costs $2,000
<br /> Major Land Alteration (grading, filling, or excavating) more 500 cubic yards or $30
<br /> 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 /> Stairway to Lake $50+ engineering review
<br /> costs
<br /> Escrow for erosion control and engineering review costs—N /.}� . �• $2,000
<br /> Retaining Wall not requiring a building permit (A building permit is required for any $50+ engineering review
<br /> retaining wall that measures more than four feet from bottom of footings to top of costs
<br /> wall. Tiered retaining walls are considered one wall unless the walls are separated
<br /> by twice the height of the lower wall.)
<br /> Escrow for erosion control and en ineering review costs $2,500
<br /> Tree Removal or intensive vegetation removal in 0 to 75 foot zone No char e.
<br /> Structure Permit for other structures not requiring a building permit but regulated $50+ engineering review
<br /> by the zoning code (including, but not limited to accessory building of less than 120 costs
<br /> square feet, detached deck or platform and sport court)
<br /> Escrow for erosion control and engineering review costs $2,500
<br /> (over)
<br />
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