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� � � City of Orono y1���i2 <br /> , ; <br /> Zonin Permit A lication �0 � � G Q <br /> J pp <br /> �— Mailing Address: <br /> Permit number: o?D// — D /O(o Z. <br /> Q,Q 11� PO Box 66 Date received: �}—/.S —� � <br /> O r �vO Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> �� y� V0i � <br /> ����`�`" i Street Address: amount: <br /> � �', ort'T ti I 2750 Kelley Parkway Permit Fee: <br /> �� �' p� Orono, MN 55356 <br /> '�y 'iT w Approved by. .� /;1`A / <br /> kESH04 Fax: 952-249-4616 ' �� Y V <br /> Notes: <br /> Main: 952-249-4600 �•ci.orono.mn.us <br /> This application form must be completed in full and all required information mu <br /> GENERAL INFORMATION: <br /> Job Site Address: (��(j � ]~�� � ���A�, (� KG�s <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: f�u( So b �r� <br /> Phone: (: /2- �?Y O �- 3 E ?S Fax: �S � - �/7 � - u`<U� <br /> Address: � O ' �4- Cit : ZIP: <br /> Contact Person: � : _ Contact's phone number G i Z- $y G - �7c <br /> � <br /> Email f- -� � ��plicant is: Contractor Homeowner (Circle One) <br /> � <br /> PROPERTY OWNER IN� RMATIION: <br /> Name: Gz u ( lsp � <br /> Phone (day): 6 ( - r:- - <br /> Mailing Address: - �/1� ZIP: <br /> Email and/or Fax � -- s- � <br /> Overall Project Des ription: _�TT� ,����/ ,�,� �_f d�' NCy U�r� .�- <br /> C�oXk TYPE OF PERMIT COST* <br /> Dock, Residential - Permanent dock on any lake or initial seasonal dock not on $30 + 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 $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 /> Land Alteration, Minor(grading, filling or excavating)-500 or less cubic yards $50+ engineering review costs <br /> xoutside of lakeshore setback or less than 10 yards in lakeshore setback <br /> � Escrow for erosion control and engineerin 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 /> 1� 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 court) <br /> Escrow for erosion control and en ineerin review costs $2,500 <br /> Tree Removal or intensive 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 />