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City of Orono
<br /> , Zoning Permit Application
<br /> Mailing Address:
<br /> Permit number: ��� '—�S�7
<br /> ���0 PO Box 66 Date received: 5� 8"�
<br /> Crystal Bay, MN 55323-0066
<br /> Escrow#and
<br /> Street Address: amount:
<br /> ..� � 2750 Kelley Parkway Permit Fee:
<br /> y�, G` Orono, MN 55356
<br /> � Approved by:
<br /> �KfSHO�� Fax: 952-249-4616 Notes:
<br /> Main: 952-249-4600 Www.ci.orono.mn.us
<br /> This application form must be completed in full and all required information must be submitted. (Please print.)
<br /> Job Site Address: �r`-�i,;,�l,j /`,� `,{z.�v� �— ����=���-.�% , ^^.^J ��f.;�r
<br /> �
<br /> CONTRACTOR/APPLtCANT INFORMATION:
<br /> Name: -�(;. ��,vr,,�
<br /> Phone: �,.S j - ��,": - � ? �T Fax:
<br /> Address: j �� '�i? tr-«.2_l-•n; A���-. N City: �-�v�•� ZIP: .a;���>'�
<br /> Contact Person: �,� �,� / ���;,� ContacYs phone number �,-���-";c, �; -,5�?��l
<br /> �' Applicant is: on ractor i Homeowner (Circle One)
<br /> Email ��,.,,� �%�' �c� J�.�^.�,,,�. �:��,
<br /> � �`�
<br /> PROPERTY OWNE�INFORMATION:
<br /> Name: `�:z� `?, ...,, M:,f.�
<br /> Phone (day): (> i - � `"'tCs:, - �-��
<br /> Mailing Address: �`;�� 1' . ��,-,-,,.� � (j�,,,�� r*r� ZIP: 5 5;�:,� �
<br /> Email and/or Fax -?�, ,{�S;',,,,�-;.,`� ���i � C��•-�a;1 . ��� _
<br /> Overall Project Description: /�� �i�<,i fi :;�,,.�� ;- ;.,;r•�,,.T �.� r...,�.� i � � ,,Z �,,Jr�..i
<br /> -� `.�
<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 /> , J` ����� Also requires is a Minor or Major
<br /> Land Alteration Permit
<br /> Land Alteratio ) cubic yards $50
<br /> or more than 11 CUP)
<br /> Escrow for erc I� - As determined b CUP
<br /> �� Land Alteratio �r�� W� �' � ( � ��� �ss cubic $50+ engineering review costs
<br /> yards outside c y�,,,��� � shore setback $2 000
<br /> Escrow for er ����.3 .
<br /> Retaining Wal . nit. $50+ engineering review costs
<br /> Retaining wall� � � ��� �� ootings to top
<br /> of wall) require isidered one
<br /> wall unless the �rtQ�� rver wall.)
<br /> Escrow for er� �,,���� $2,500
<br /> Stairway or L fs��/�'VVY � $50+ engineering review costs
<br /> Escrow for er -7n ��"� �j � $2,000
<br /> Structure Per �-;d 11'YVv �ermit but $50+ engineering review costs
<br /> regulated by tl � � ssory building
<br /> of less than 1: � ort court)
<br /> Escrow for er $2,500
<br /> Tree Removal or other ve etation removal in 0 to 75 toot zone No char e. Pre-inspection required.
<br /> Temporar Construction OfficelTrailer associated with buildin ermit $30
<br /> (over)
<br /> *Permit fee will be collected when the permit is issued.
<br /> Updated: January 2014
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