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..iiir City of Orono <br /> Zoning Permit Application <br /> Mailing Address: Permit number: (0/ (--f-)/ o� / <br /> ((o <br /> U A�O PO Box 66 Date received: / / S7/ <br /> Y '`V Crystal Bay, MN 55323-006 <br /> µ � a Escrow#and <br /> -..-1,Jr- , Street Address. Cklg-4 ' amount: <br /> �` `l,46;*- ti 2750 Kelley Parkwa Permit Fee: <br /> �, tov. pll '/ Orono, MN 55356 0,10' ) <br /> I& Approved by: <br /> 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: <br /> VD S. OldailliciaL &iq Dviwio, G- ---3.9D <br /> CONTRACTOR/APPLICANT INFOR A IQ <br /> Name: Scott ` to . ( tom <br /> Phone: 5 ,v ax: 2. 1 722.14 <br /> Address: P . 1t , s S.Oi (,�YI.� &tq City: OVOV h ZIP: " j , <br /> Contact Person: _Al gal C.t' l Contact's phone number i 2. - . r Z __ ' ell <br /> Email i t 1/1/1 / CIVIC. "l Applicant is: Contractor Homeowne (circle one) <br /> PROPERTY OWNER INFORMATION:. <br /> Name: X,FI-k u LL Wier <br /> Phone (day): U,if' Y ITvi t4N I �lZ ZIP: �3si <br /> Mailin Address: <br /> Email and/or Fax Cb i4 .'v k 'Vie Vilit � cis-Z.40. 3-22 41-- <br /> Overall <br /> fOverall Project Description: ear-dr-A/Platt-fors <br /> Check TYPE OF 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 /> Driveway Permit(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 /> Voutside 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 /> (over) <br /> *Permit fee will be collected at <br /> the time the permit is issued. <br /> Updated: December 30,2011 <br />