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� ; City of Orono <br /> � Zoning Permit Application <br /> Mailing Address: Permit number: � " ��g7 <br /> �D�O PO Box 66 Date received: -Ql- � <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and � ( ^ <br /> Street Address: amount: N f�C <br /> y >„ 2750 Kelley Parkway Permit Fee: � <br /> G� Orono, MN 55356 <br /> �� Approved by: � <br /> �KFSH��� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 W`^�W ci.orono.mn.us <br /> . <br /> � <br /> This application form must be completed�in full and all required formation must be submitted. ease prin ) � <br /> ; 1�,,�,,�n� �'c, . � <br /> Job Site Address: - <br /> . ,�'r �:fr•�'� �. _ � . <br /> CONTRAC OR I AP LICANT, INFORMATION;� � > / n�S� c� �C�'� t�� <br /> Name: �� S� �%�!� ��C/ <br /> Phone: �1� � - - ,� � !� / Fax: � <br /> Address: �/-�S •,�h�r� ��. City: �i�'� ZIP: ����� <br /> Contact P r on: . ContacYs phone number <br /> Email ✓�i�7.> �i�'�IL � ��-�'t� G� • (':,�,Applicant is: Contractor � Homeown2f �ircle One) <br /> PROPE T OWNER INFORMATIQN: <br /> Name: �S-����vr G..SI ' -S- <br /> �.� <br /> Phone (day): �� - <br /> Mailin Address: �;; 7��? _ /S r'�L , L�rv�l, ;: �� ZIP: .S_5 <br /> g �.i 4�.n� 3s� - <br /> Email and/or Fax ;1 /7 i- 1 � J�,► u•�,, � �;; �S- , ' <br /> Overall Project Description: �'�u ����-� t�1+// � t �' ��� �%h �� �c ��� <br /> �BoXk TYPE OF PERMIT COST* <br /> Dock, Commercial $50+engineering review costs <br /> Escrow for erosion control and en ineerin review costs $2,000 <br /> Dock, Residential - Permanent dock on any lake or initial seasonal dock not $50 +engineering review costs <br /> on Lake Minnetonka ermanent dock re uires CUP <br /> Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge <br /> Also requires is a Minor or Major <br /> Land Alteration Permit <br /> Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards $50 <br /> or 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 $50+ engineering review costs <br /> yards 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 <br /> of wall) require a building permit. (Tiered retaining walls are considered one <br /> wall 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 or Lifts 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 <br /> of 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 Removat or other ve etation removal in 0 to 75 foot zone No char e. Pre-inspection required. <br /> Temporar Construction Office/Trailer associated with buildin permit $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: January 2014 <br />