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' � C�ty of Orono <br /> � � Zoning Pe�mit A plication <br /> �O . ` Mailing Address: <br /> Permit number: �-���'��7� <br /> �V PO Box 66 Date received: �— 2.�"` �3 <br /> � Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> � � 2750 Kelley Parkway Permit Fee: � �''� �� <br /> y�. � Orono, MN 55356 <br /> ! G Approved by: <br /> qkFSH��� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 <br /> This application form must be completed in full and all required information must be submitted. (Please print.J <br /> Job SiteAddress: � �,�5 �1 e>�L�, ��cM. �.1�L� � ���,.,p <br /> CONTRACTOR/APPLICANT I FORMATION: 1 <br /> Name: ��.�c.� �p„�d,.�.£�. <br /> Phone: b I 2. - �y S- �S 31 Fax: <br /> Address: Cit : ZIP: <br /> Contact Person: LL � c�n ContacYs phone number ('2- - - <br /> Email Applicant is: Contractor Homeowne (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: W LLC.. �[Z-�. 1 -I�lb1 <br /> Phone (day): ��st. W c,� co��- --13 -Z t� � r- c� �nio�. <br /> Mailing Address: Zc� otr.v,S o w� c�. r� c� ZIP: <br /> Email and/or Fax <br /> Overaf! Project Description• �� � ct,,-�-, a�, �"1 v�„r7L, < S� ���,., � p��, <br /> �LQ.. �' C�•• � <br /> Check TYPE OF PERMIT <br /> 8ox COST* <br /> Dock, Residential-Permanent dock on any lake or initial seasonai 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 sxcavating) 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 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 /> 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 <br />