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City of Orono <br /> Zoning Permit Application QQ <br /> Mailing Address: Permit number: o?a l 3 - oc)8/'�77U <br /> PO Box 66 Date received.- <br /> Crystal <br /> eceived:Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> .� 2750 Kelley Parkway Permit Fee: <br /> yF ` Orono, MN 55356 <br /> Approved by: <br /> gKFSHO�� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 www.d.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: - 773 5 Ac <br /> CONTRACTOR/APP (CANT INFORM TION: <br /> Name: f t -t lav, orJ <br /> Phone: Fax: <br /> Address: City: cv'1 ZIP: <br /> Contact Person: Mi & Contact's phone number .y <br /> Email im�r }romQ_»,Cc�cr u Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNE NFORMATION: <br /> Name: F vwr, ! /,, 0 Yl-Luc0,- <br /> Phone (day): 9& <br /> Mailing Address: 7#6- ZIP: -55 <br /> Email and/or Fax m r" ) (1) Ua k o 0 . e,Ohl <br /> Overall Project Descripti n: r,• c,. a �y; <br /> e w Lalae <br /> Check <br /> 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 (permanent dock requires CUP <br /> Dock, Commercial $50+engineering review costs <br /> Escrow for erosion control and engineering review costs $2,000 <br /> Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge <br /> Also re uired is a Minor or Major 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 engineering review costs As determined by 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 engineering 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 engineering 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 engineering review costs $2,500 <br /> Tree Removal or other vegetation removal in 0 to 75 foot zone No charge. <br /> Temporary Construction Office/Trailer associated with building permit) $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: November 30,2012 <br />