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<br /> City of Orono � �`� - 6 2015
<br /> Zoning Permit Application L-t��ey�ok
<br /> �,
<br /> Mailing Address: Permit number. ��-f_� - (_.`(`��i
<br /> �-O� PO Box 66 Date received: �-'_ �c _ i c�
<br /> � Crystal Bay, MN 55323-0066
<br /> Escrow#and
<br /> Street Address: amount:
<br /> y � 2750 Kelley Parkway Permit Fee:
<br /> r �� Orono, MN 55356
<br /> �q �, Approved by:
<br /> k�S H�� Fax: 952-249-4616 Notes:
<br /> Main: 952-249-4600 `^"Nw.ci.orono.mn.us
<br /> This application form must be comple d in full and all required information must be�mitted. (P/ease prinf.)
<br /> Job Site Address: � . (��-yf'1� �f�
<br /> CONTRACTOR/AP�ICANT INFORMATION: `'�
<br /> Name: 1��A� I l�;?C_='���c'•'"` C",��`
<br /> Phone: : Z Z- " � Fax: +�
<br /> Address: /1 ,�( ,,v. AQ�ri,. y� )� ZIP� �Ss'(1�
<br /> � v�'��
<br /> Contact Person: ContacYs phone number
<br /> Email �l ��_, ��t�v�,�, . ��y1;a� ;, �Applicant is: Contr CtOf �F�017120Wn [' (Circ�e one)
<br /> � �--------�i
<br /> PROPERTY OWNER INFORMATION:
<br /> Name: -j�,�
<br /> Plione (day):
<br /> Mailing Address: ����
<br /> Email and/or Fax �O� _ S-4-I�j
<br /> Overall Project Description: — ���' `�°�� �/D�/�•
<br /> �O� Y VI
<br /> Check TYPE OF C\ � n ��
<br /> Box �_�`
<br /> Dock, Residential -Permanent dock on �'�� �I ' ����,�, ���t�
<br /> Lake Minnetonka ermanent dock re ui /
<br /> Dock, Commercial �� ��� , � qln I/� �`�
<br /> Escrow for erosion control and en inee � ����� �
<br /> Hardcover Permit: Driveway, Patio, Si � �Q���� p ��e�� (,(�t�� 'C(,�(/ l
<br /> Also re uired is a Minor or Ma'or Land A�«�G,,,,,, , .,...._
<br /> Land Alteration, Major(grading, filling, or excavating) more 500 c�
<br /> more than 10 cubic yards in lakeshore setback (also requires CUP) ��d`?•
<br /> Escrow for erosion control and en ineerin review costs ���Cu� ��Q J(�����
<br /> � Land Alteration, Minor(grading, filling or excavating) -500 or les= r `'l
<br /> outside of lakeshore setback or less than 10 yards in lakeshore set
<br /> Escrow for erosion control and en ineerin review costs �� ��,�� �P �BJ�d �fp
<br /> `�` Retaining Wall measuring under four feet require a zoning permit.
<br /> Retaining walls measuring more than four feet (from bottom of foot r'�� / ��P �QC ��/
<br /> wall) require a building permit. (Tiered retaining walls are consider V �+< <
<br /> unless the walls are separated by twice the height of the lower wal t fe �a� ` .,1,,,� �
<br /> Escrow for ero�ion control and en ineerin review costs � "(C+�e tMUr
<br /> Stairway to �ke (New or Replacement) e �� �! �, ��{,(
<br /> Escrow for errosion control and engineering review costs �e � � �� , ' /
<br /> Structure ermit foroher g�u�� ����`�Ia�� l�
<br /> t structures not requinng a building perr���� uU, ,�,,,,
<br /> regulated y the zoning code (including, but not limited to accessory building of �
<br /> � less tha 120 square feet, detached deck or platform and sport court)
<br /> Escro 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 /> 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
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