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1 + <br /> City of Orono <br /> , <br /> � Zoning Permit Ap lication <br /> ' Permit number: <br /> O Mailing Address: <br /> g- � PO Box 66 Date received: Z� � <br /> � Crystal Bay, MN 55323-0066 <br /> Escrow#and n <br /> Street Address: amount: � v/ <br /> y �. 2750 Kelley Parkway Permit Fee: V �� , <br /> � Orono, MN 55356 <br /> �� �' Approved by: M <br /> q�FSH��� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 - - - l <br /> This appiication form must be completed in full and all required information must be submitted. (Please prir�t.J <br /> Job Site Address: 3 I�0 S �J O�TV\ �.(�� �'�lv� � �r� ✓�0 <br /> CONTRACTOR/APP ICANT INFORMATION: <br /> Name: _ � 0-Q�,hQJY pv�:�r �es . ���� <br /> Phone: Fax: — — QQQ <br /> Address: � D; �fQ,, Cit : y� ZIP: <br /> Contact Person: Contact's phone number . S�— p <br /> Email p Applicant is: Contractor Homeowner (Circle One) <br /> �C3�►vl <br /> PROPERTY OWNER INFORMATION: - I ,, <br /> Name: _��Q,{/V� a,� OC#��/.Q� <br /> Phone (day): <br /> Mailing Address: ZIP: <br /> Email and/or Fax <br /> Overal! Project Description: ��`�j� ������ . py�n ,,�-�I� ��� �p, �3�5 <br /> ,� <br /> Check TYPE OF PERMlT <br /> Box 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 axcavating) more 5�0 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 />