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City of Orono
<br /> . � Zoning Permit A lication
<br /> Mailing Address: +
<br /> Permit number:
<br /> ��J��. PO Box 66 Date received: l �
<br /> �r Crystal Bay, MN 55323-0066
<br /> 0 Q Escrow#and N/�
<br /> ,A Street Address: amount:
<br /> '� F 2750 Kelley Parkway Permit Fee: ��
<br /> � G� Orono, MN 55356
<br /> '�q,�.�HO�„� Approved by:
<br /> - Fax: 952-249-4616 Notes:
<br /> Main: 952-249-4600 �•ci.orono.mn.us
<br /> This application form must be completed in full and all required information must be submitted. (P/ease print.)
<br /> GENERAL INFORMATION:
<br /> Job Site Address: �2yo ��„/a��� ,S'/,� �� /,>,��•„�,
<br /> CONTRACTOR/APPLICANT INFORMATIO :
<br /> Name: ���r/ �/'.-��.���i�.-,�. ..l�,c,
<br /> Phone: 9S�- �- 7 �6 Fax: a-Y�/�-�� �
<br /> Address: /�oeSc� �� Co �r'_ City: �a�o��c�.� ZIP: SS:3�j
<br /> Contact Person: �Q,- ,o,���,Q� ContacYs phone er 6i�_��g -��oy
<br /> Email �/P 6i�j��,e,%,�.�/�,�,,,�pplicant is: �Contrac or Homeowner (Circle One)
<br /> PROPERTY OWNER INFORMATION:
<br /> ,
<br /> Name: /1�•..-� a c G�•%►��e/ v� f!�. /�rf�s
<br /> Phone(day): �f - � - �36/
<br /> Mailing Address: ��yo ��,-�i�' ,� a� �r-. . �c%, � �„ ��v ZIP: Ss� gi.- 3y7
<br /> Email and/o Fa �.�-�5�Sc�3 - 7363 �
<br /> Overall Project Description: _��-/ .�g �'o f ,�'�,;;,r - ,g�,� �Q����-
<br /> Check Tl(pE OF PERMIT
<br /> Box COST*
<br /> Dock, Residential-Permanent dock on any lake or initial seasonal dock not on $30 +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 /> X 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 $30
<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)�00 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 , C
<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 inee�in 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 intensive v 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.
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