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, . <br /> City of Orono <br /> Zoning Permit A lication <br /> � ` Mailing Address: Permit numbe O ��f'VV Q <br /> %�' ��n/� PO Box 66 Date received: �o'� �� 'f _ <br /> 0 1 Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> � ' ' Street Address: amount <br /> � : ,, 2750 Kelley Parkwa Permit Fee: � � <br /> y � Orono, MN 55356 <br /> '� � 'S <br /> � �, , ��/ Approved by: <br /> /�"� • v� <br /> \`_S h� Fax: 952-249-461 � � �1.�' Notes: <br /> Main: 952-249-4600 �'-""��"��°'0116�ri'7 ',�y / <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: �1 OO MIIIStOt1 Orono, MN 55391 <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: t1 t L Il <br /> Phone: 952-4 2-4118 Fax: <br /> Add�ess 3153 Priest Lane c�tv: Mound Z1P 55364 <br /> Contact Person: J1�11 S1171th ContacYs phone rn�mher 612-750-4374 <br /> Email 'Jhsmith3102@aoI.001'YtApplicant is: �ontracto� Homeowner (CircleOne) <br /> PROPERTY OWNER INFORMATION: <br /> rvame: Rodnev & Barbra Burwell <br /> Phone(day): 612_719_444$ <br /> Mailing Address: ZIP: <br /> Email and/or Fax burwellbe aol com <br /> Overall Project Description: Renlace stet�s to lake, restore erosion, build water swal�__ <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 /> X 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 /> I Retaini�g Wall measuring under four feet require a zoning permit. $50+ engineering review costs <br /> , X 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 /> X 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 required. <br /> Tempora 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 />