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City of Orono <br /> Zoning Permit Application <br /> ^� Mailing Address: <br /> Permit number: <br /> V PO Box 66 Date received: <br /> O Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> s 2750 Kelley Parkway Permit Fee: <br /> S� Orono,MN 55356 <br /> Approved by: <br /> �kESH��� 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: 1 `� QA ���-�{'r 0r�_-,row 1 �y�� 1 <br /> CONTRACTOR NFORMATION: <br /> Name: Tt` 5 6�11 1:70 rV <br /> Phone: Fqqq Fax: <br /> Address: D 33LbLkv-,'VA lilctx _ c. City: ZIP: <br /> Contact Person: Contact's phone number <br /> Email _ , ,. ,,5� ,��, ,.Com; . Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATIO <br /> Name: k_-), <br /> Phone(day): (e( a-3CC4 <br /> Mailing Address: I 141 CIAjk -- ¢r•�Itv.l ZIP: <br /> Email and/or Fax �4 �v� ;t�- ,.4; •r-, <br /> Overall Project Description: 3 r z tw,�+t ua o,/j '76 4 £r L. i'A,.n ,\4 <br /> Check TYPEOF PERMIT <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 required 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 char e. <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 />