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_ � - y City of Orono <br /> Zoning Permit Application <br /> ;-__-_ Mailing Address: Permit number. �O/ a - �(�1 �O 0 <br /> �Q�� PO Box 66 Date received: � o � Z--- <br /> O O Crystal Bay, MN 55323-0066 <br /> Escrow#and � / <br /> �s�� 1 amount: ���v <br /> ' Street Address: <br /> a ��'��;-'� � 2750 Kelley Parkway Permit Fee: <br /> �� �' ';`�'�`��"+�' . � Orono, MN 55356 <br /> �C "� �? �,G A roved b : <br /> \��H�g pp Y � <br /> __-_- Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 '-'��^�vi_ci orono.mn us <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: � �� o.. �✓ � D '�� <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: <br /> Phone: Fax: <br /> Address: City: ZIP: <br /> Contact Person: ContacYs phone number <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: � � � <br /> Phone (day): - Z � <br /> Mailing Address: 7 IP: S 3 <br /> Email and/or Fax � � <br /> Overall Project Descriptio . ,/ �� � d � � <br /> � <br /> a, r <br /> CBoXk YPE OF PERMIT 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: April 23, 2012 <br />