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°r� City of Orono <br /> Zoning Permit Application <br /> O Ivfailing Address: <br /> Permit number: <br /> PO Box 66 Date received: <br /> � 0 Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> y �. 2750 Kelley Parkway Permit Fee: <br /> � Orono, MN 55356 <br /> �< <' Approved by: <br /> �KfSN��� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 ..,... ' ` r`''�� "'" ". <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: <br /> Phone: Fax: <br /> Address: City: ZIP: <br /> Contact Person: Contact's phone number -,.—.�.----_ <br /> Email Applicant is: Contractor . Homeowner �c���ie o�e► <br /> PROPERTY OWNER INFORMATION: _ <br /> Name: � i�� � 'e- ( / E'9�'-v� <br /> Phone (day): � '�"Z �7! y'3� g <br /> Mailing Address: 3�/-f� /�a �-�"4 � �o�--t � � z� �-- ZIP: � j 3� <br /> Email and/or Fax � <br /> Overall Project Description: ��-- �+-Y�- � 4- 7.� ' <br /> Check TYpE OF PERMIT <br /> Box 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 twicP #h� height af the lowsr 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 Removal or other ve etation removal in 0 to 75 foot zone No char e. Pre-inspection required. <br /> Tem orar 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 />