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. t . . City of Orono <br /> ' � Zoning Permit Application <br /> Mailing Address: <br /> Permit number: D / -QQ / �� <br /> O�Q 11�O PO Box 66 Date received: � � .�-/ <br /> �`V Crystal Bay, MN 55323-0066 <br /> Escrow#and � <br /> Street Address: amount: <br /> � � � 2750 Kelley Parkway Permit Fee: , �� �� <br /> � G�� Orono, MN 55356 4 <br /> .9 � Approved by: <br /> kESH��` 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 al1 required information must be submitted. (Please print.) <br /> Job Site Address: J ,/(� I <br /> CONTRACTOR PP A FORMA ON: <br /> Name: <br /> Phone: 2- � Fax: "'" <br /> Add�ess: � C� f� 1� Cit : ►/�.` ZIP: C� <br /> Contact Person: � ContacYs phone number 'Z- � <br /> Email ,�,�pplicant is: Contractor (Circle One) <br /> PROPERTY OW ER ORMATION: <br /> Name: `e � <br /> Phone (day): � -� <br /> Mailing Address: b ZIP: <br /> Email and/or Fax << <br /> Overall Project Descripti n: 7�� 2 � ��2 - <br /> Check �(pE OF PERMIT <br /> goX 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 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 />