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<br /> ���ti���� Cit of Orono
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<br /> =�,�� � � ��
<br /> �; ��'��� Zoning Permit Ap lication � � �
<br /> � ���
<br /> Mailing Address: Permit number: �/����L
<br /> �O� PO Box 66 Date received: / �� �
<br /> � Crystal Bay, MN 55323-0066 Escrow#and �,
<br /> Street Address:
<br /> amount: N�{� t;a�L��,���� ►�1�,�sy �j'
<br /> � �. 2750 Kelley Parkway Permit Fee:
<br /> y�. � Orono, MN 55356
<br /> ! G Approved by:
<br /> qkFSH��� Fax: 952-249-4616 Notes:
<br /> Main: 952-249-4600 �v',ti'�ti �i orono mn us
<br /> This application form must be completed in full and all required information must be submitted. (P/ease print.)
<br /> Job Site Address: l 1 G n i� �11 5���� I<< , ����,-r�, ,�,� S 5;�, �
<br /> CONTRACTOR I APPLICANT INFORMATION:
<br /> Name: ���n d�c �3��r-..����
<br /> Phone: �i;z '-���. r b �-t 7 Fax:
<br /> Address: !!�t� �,1I 51�� ���( City: t�,�o., ZIP:
<br /> ��53�� 1
<br /> Contact Person: �t�uc �"��.i..�e�r ContacYs phone number °�;z �- �t 7� -� ���
<br /> Email ��i3�,��,�,�� ��, ;tG r, ��;,,.,, Applicant is: Contractor omeowner� ircle One)
<br /> PROPERTY OWNER INFORMATION:
<br /> Name: f'Z� c�,,,F, l3�.r u r�J
<br /> Phone (day): �,z s�;� 1��5
<br /> Mailing Address: i l� o rv��ll s}�,� ��t.-( o���. ,�„� ZIP: %5 3°� I
<br /> Email and/or Fax ���� — ��y _ -�-t; ;
<br /> Overall Project Description: f�1.� r;,f „��( S/-<„�s j>�t I �,-, �Y�w f� Sf�-•��S ��� sn�- S��r
<br /> Check TYPE OF PERMIT
<br /> Box COST*
<br /> Dock, Residential—Permanent dock on any lake or initial seasonal dock not on $50 +engineering review costs
<br /> Lake Minnetonka ermanent dock re uires CUP
<br /> Dock, Commercial $50+ engineering review costs
<br /> Escrow for erosion control and en ineerin review costs $2,000
<br /> Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge
<br /> Also re uired is a Minor or IVla�or Land Alteration Permit
<br /> Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards or $50
<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 /> Land Alteration, Minor(grading, filling or excavating)—500 or less cubic yards $50+engineering review costs
<br /> 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 of
<br /> wall) require a building permit. (Tiered retaining walls are considered one wall
<br /> 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 to Lake (New or Replacement) � $50+engineering review costs
<br /> , Escrow for erosion control and engineering review costs (h-�In/� $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 of
<br /> 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.
<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: November 30,2012
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