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. City of Orono �� � � � �� <br /> Zoning Permit Application <br /> Mailing Address: Permit number: � " ��..� l `'�;,.�;''� <br /> �Q_J�,, PO Box 66 Date received: � � ��.•'"' "� � ����-� <br /> O `rO Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: �Z'C��Qq �.,,� <br /> � 2750 Kelley Parkway Permit Fee: � <br /> ��t � G�� Orono, MN 55356 <br /> y 'w Approved by: <br /> x�H�4 Fax: 952-249-4616 <br /> 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. (P/ease print.) <br /> Job Site Address: V����i►�r)�`FC f� ci �l�-�� �i Ct �� <br /> ��1`'1 k i� � �ct�� � C`�r-C��G,� y 1'1/11 .S S�S�j <br /> CONTRACTOR/APPL�,CANT INFORMATION: <br /> Name: �'�.��+�►^ fi- /J ���.��� <br /> Phone: - - Fax: <br /> Address: - c' yr ' ` ,� ri � � Cit : • ��C, ZIP: _$` , <br /> Contact Person: E . F � ontacYs phone number -- �$-- " <br /> Email ���m t����� . ti� ,�,,,,�qpplicant is: Contractor Homeowner �'��c���ieo�e� <br /> PROPERTY OWNER INFORMATION: <br /> Name: _Qc�-e r t" /�Q��� <br /> Phone (day): �$Z,-4 Z�"—1+(5Z <br /> Mailing Address: �yJ; � ZIP: <br /> Email and/or Fax � ��� �—��p, � ��' s,�i . Cc��t;1 <br /> Overall Project Description: {�F� (ry«�,� i��-5ny �-�-�+r w�� -t� L:Y 1�� � <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 /> Driveway Permit(New or Replacement) No charge <br /> Also re uired is a Minor or Ma�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 $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 cou�t) <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 /> (over) <br /> *Permit fee will be collected at <br /> the time the permit is issued. <br /> Updated: December 30, 2011 <br />