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� � City of Orono <br /> + , Zoning Permit Application <br /> Mailing Address: Permit number: D�3"0� s <br /> �0�0 CrysBtal Bay, MN 55323-0066 Date received: � � � � <br /> Escrow#and <br /> Street Address: amount: <br /> y ,�, 2750 Kelley Parkway Permit Fee: �� � �'i � � ��� C� _� <br /> `� Orono, MN 55356 <br /> � <br /> �� �' Approved by: <br /> �kESH��� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 WWw•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: � � �� ��1/�,�- ��� ��Z , � ��� ,�"l.N�J�/ <br /> CONTRACTOR/APPLI ANT INFOR ATION: <br /> Name: �,l�._ <br /> Phone: - � (� Fax: (2 � ,3 .� •,5 <br /> Address: " 12 � 3 Cit : ZI : <br /> Contact Person: �//JT ! �Contact's phone number <br /> Email �„�Applicant is: Contractor Homeowner ircle One) <br /> PROPERTY OWNER IN MATION: GG� 4�GV1 LtGt I � � � •E�'r 4 ► <br /> Name: r ) <br /> Phone (day): • (r� <br /> Mailing Address: 7' ` ZIP: <br /> Email and/or Fax , <br /> Overall Project Description: L.����y0� � ��� Lbqw� <br /> CBoXk TYPE 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 /> Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (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 engineeririg 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 /> Tem ora Construction OfficelTrailer associated with buildin ermit $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: November 30, 2012 <br />