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f City of Orono <br /> Zoning Permit Application <br /> O Mailing Address: Permit number: <br /> L- PO Box 66 Date received: <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> > 2750 Kelley Parkway Permit Fee: <br /> Orono, MN 55356 <br /> F` <' Approved by: <br /> gkESHOR� 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: (°;I() <br /> 11 <br /> gti lr l� �C� 1 -y1QL17AT_kA , "/d <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: -4­rA 0 t. <br /> Phone: l gs Z S q 5,5 - 3 i 17- Fax:l qsz 1 41 SZ77� <br /> Address: "71) 111jL4A-IfL1 City:44b4,jl��_ ZIP: (y/� <br /> Contact Person: 5 rj;, u L la_,211,L S Contact's phone number la 1 Z <br /> Email �7L"�LJ/�jtr2A15 ,�rCiyG4n�n;�, � i Applicant is: ntracto Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: ol_ ' 7 - <br /> Phone (day): -Z �- - -- <br /> Mailing Address: q+ ZIP: <br /> Email and/or Fax <br /> Overall Project Description: j j( Jjg1ZZvtA,V1 114 -tom <br /> Check TYPE OF PERMIT COSTBox * <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 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 />