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� � <br /> � <br /> City of Orono <br /> Zoning Permit A plication <br /> �O . `O Mailing Address: <br /> Permit number: � � —�� <br /> 1V PO Box 66 Date received: <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> � >. 2750 Kelley Parkway Permit Fee: <br /> y�c. � Orono, MN 55356 <br /> ! �' Approved by: <br /> q'�FS H��� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 <br /> This application form must be compfeted in full and all required information must be submitted. (Please print.J <br /> Job Site Address: �j(�C� (,{y �� (� (jr��,�-o <br /> CONTRACTOR/APPLICANT INFORM9TION: <br /> Name: Si-c,,�h.�..� S}-c.�nbc�^n <br /> Phone: �, �� a� -� - ���'� Fax: <br /> Address: City: ZIP: <br /> Contact Person: 5't-e,ph,�.� Contact's phone number f� ati� - 70�t" <br /> Email Applicant is: Contractor Homeowner (Circle One) ;.;���4�y „�;,,,,K��� <br /> PROPERTY OWNER INFORMATION: <br /> Name: i.�J c�,.a�a Oay f-�� <br /> Phone (day): �;� a -�� k _ 7� / � <br /> Mailing Address: 3oc� C,4� �, r w4:.�z�..�� ZIP: 5 5 3 7/ <br /> Email and/or Fax <br /> Overall Project Description: ,,,^,,;�,�„tiY �i h,�t�. ,;,��„�„ <br /> Check TYPE OF PERMfT <br /> Sox 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 Reptacement) No charge <br /> Also re uired is a Minor or Ma�or Land Alteration Permit <br /> Land Alteration, Major(grading, filling, or exc�vating) more.5�0 c�ibic y�r�s 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 /> regufated 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 Remova! or o#her ve etation remova! 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 <br />