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- ° • City of Orono <br /> � Zoning Permit Application <br /> Mailing Address: Permit number: ��� �—" �� �..D � <br /> .Q,Q �I� PO Box 66 Date received: �.C� �� �� � <br /> Oj' '`rO Crystal Bay, MN 55323-0066 <br /> Escrow#and Jf., <br /> Street Address: amount: �I V��� <br /> '� 2750 Kelley Parkway Permit Fee: <br /> � �. q � <br /> �� G�F Orono, MN 55356 � <br /> '�y � Approved by: <br /> x�H�¢ Fax: 952-249-4616 <br /> Notes: <br /> Main: 952-249-4600 `�'�`Nv'i ci orono_mn_us <br /> This application form must be completed in full and al1 required information must be submitted. (Please print.) <br /> Job Site Address: <br /> �� r � <br /> CONTRACTOR/APPLICJ9NT INFORMATION: <br /> Name: ��0 D l_�:�.�'-c-c� S <br /> Phone: 2 - �- '?') Fax: <br /> Address: lS�iS ��" �t,✓C �'�1c, City: �y��..�����-�- ZIP: �5��{ S„ <br /> Contact Person: �:::�-J ContacYs phone number S�-� <br /> Email ������..�tKs� ���-�-Z- Applicant�:._ Contractor .> Homeowner (CircleOne) <br /> �.. __ <br /> c�c� <br /> PROPERTY OWNER INFORMATION: <br /> Name: 5�--�-- <br /> Phone (day): <br /> Mailing Address: ZIP: <br /> Email and/or Fax <br /> Overall Project Description: <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 /> ,r� 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 1 <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 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 /> (over) <br /> *Permit fee will be collected at <br /> the time the permit is issued. <br /> Updated: December 30,2011 <br />