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City of Orono <br /> - Zoning Permit Application <br /> ' Permit number: ��'/� � L� '� <br /> � Mailing Address: <br /> �� II� PO Box 66 Date received: �J � <br /> �`V Crystal Bay, MN 55323-0066 <br /> � ;;, Q Escrow#and <br /> ���� Street Address: amount: <br /> '� �'��� �• °i 2750 Kelley Parkway Permit Fee: <br /> ��t��� �'~ Orono, MN 55356 <br /> .9 � Approved by: <br /> kESH04' 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 all required information must be submitted. (P/ease print.) <br /> Job Site Address: ���� ��/���✓G I�t�Jv� <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: <br /> Phone: Fax: <br /> Address: City: ZIP: <br /> Contact Person: Contact's phone number <br /> Email Applicant is: ontractor� Homeowner �c���ie o�e� <br /> PROPERTY OWNER INFORMA ION: ��� � � <br /> Name: � �S i� <br /> Phone (day): 7 3 ' � - 7� � LG� 6 I�. - �t - O 3 <br /> Mailing Address: �,� pr}�1-� re �-�� ZIP: <br /> Email and/or Fax � C�,c,t-n� 12..� h �-' � qr � � r <br /> Overall Project Description: e �,�-�� ��b� � <br /> Check �(pE OF PERMIT <br /> Box COST* <br /> Dock, Residential — Permanent dock on any lake or initial seasonal dock not on $50 + engineering review costs <br /> Lake Minnetonka permanent dock requires CUP <br /> Dock, Commercial $50+ engineering review costs <br /> Escrow for erosion control and engineering 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 engineering 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 ineering 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 engineerin 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 />