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City of Orono <br /> ` Zoning Permit Application <br /> �Ol V Mailing Address: <br /> Permit number: <br /> PO Box 66 Date received: <br /> 0 Crystal Bay, MN 55323-0066 Escrow#and <br /> Street Address: amount: <br /> 2750 Kelley Parkway Permit Fee: <br /> �! Orono, MN 55356 <br /> Approved by: <br /> gkES H O � Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 www.ci.orono.mn.us <br /> This application form <br /> lmust be completed in full and all required information must be submitted. (Please print.)�i <br /> Job Site Address: -i(`l ox 1<"-,t rIJ . 0rcr'V <br /> CONTRACTOR tAPPUC -INFORMATION: <br /> Name: q �5 f �C> r V-e- � <br /> Phone: �5Ib -- 8Qq q Fax: <br /> Address: :2D,33 k,' ._S c City: t; d rt ZIP: ,}= G <br /> Contact Person: i- rd k t r Contact's phone number <br /> Email _ �•r ,� eAresby s+ Applicant is: Contractor Homeowner (circle One) <br /> PROPERTY OWNS INFORMATION I),9P1Q --- <br /> Name: ,Lke k 0, <br /> Phone(day): (e 1 '2 -3eti4-- <br /> Mailing Address: Il OAk Ar—f fi ZIP: 'S _ L <br /> Email and/or Fax rm u� _ tv* i.Wr,�v..e�^ r� <br /> Overall Project Description: '�' �� ac�� ,�.c ti��i 75- ,� fir;• �� i�1,�► �k(t <br /> Check TYPE OFPERMIT <br /> Box 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 />