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� <br /> � ` City of Orono <br /> Zoning Permit A lication <br /> Mailing Address: Pe��t number: <br /> �0 PO Box 66 Date received: <br /> �0 Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> � � 2750 Kelley Parkway Permit Fee: <br /> � Orono, MN 55356 <br /> �< <' Approved by: <br /> qkFSHO�'� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 �•ci.orono.mn.us <br /> This application form must be completed in full and all required infoRnation must be submitted. (Please print) <br /> Job Site Address: 3,-� 7��2� cs���.e �2, <br /> CONTRACTOR/APPLICANT INFORMAT ON: <br /> Name: �lZA1JK �G�G�) <br /> Phone: I � 1 1`� Fax: <br /> Address: 3 O � � Cit : ZIP: <br /> Contact Person: ontacYs phone number � 2� 7- /'7 <br /> Email ��)�C� ' Applicant is: Contractor omeow (Circle One) <br /> PROPERTY OWNER INFORMATIONp•, <br /> Name: �� 1 ���� <br /> Phone (day): f - - I <br /> Mailing Address: 1t ZIP: � <br /> Email and/or Fax <br /> Overall Project Description: �e/Y)�� �V1_�('� <br /> �BoXk TYPE OF PERMIT 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 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 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 OfficeITrailer associated with buildin ermit $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: November 30.2012 <br />