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LJ .#`,4 ' <br /> City of Orono <br /> Zoning Permit Application <br /> --; Mailing Address: <br /> Permit number: c / \ — 's 't2/ <br /> ��O, . PO Box 66 Date received: 6- t'' —/off, <br /> Crystal Bay,MN 55323-0066 <br /> Escrow#and <br /> �_ Street Address: amount: <br /> �ti , '� ti 2750 Kelley Parkway Permit Fee: <br /> ,A, i4,%;��'Ir p. Orono,MN 55356 <br /> \19 4� Approved by: <br /> � Hc4 Fax: 952-249-4616 <br /> 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: "elf) .0D J?k'S`777t e 7 ,4 , <br /> CONTRACTOR/APPLICANT INFORMATION: / <br /> Name: I kK A.,tf, -y Ir-1V i~s Y t icl i T NL <br /> Phone: (C/SZ i QSS -3)) Z Fax: (952) 95S - 5Z)7/ <br /> Address: 31/70 CvL«/Fl/ lluird Z/ City: H/Ivy(,� ZIP: <br /> Contact Person: 51a/6 gi t 12_A Contact's phone nstmber /0/2) l/b - 2-/36 <br /> Email 5r..it.t gu, u5c kebovW n •,tr&i Applicant is: (ontiracto) Homeowner (circ ne) G(( �� <br /> GJ� U <br /> PROPERTY OWNER I. ORMATION: _ 'ee 1--4-) <br /> Name: ::-"� �� VI 'A# I 4 �Y�'1 CJ <br /> Phone (day): NW� -! 11 .3ir�j�. <br /> Mailing Address: k i r� /7�ird . . --z ZIP: �r�j'�Zi� <br /> Email and/or Fax rda i b r u tnv v yY1_t ruGQSpi.i tl4 -> LO yr <br /> Overall Project Description: f9ui/d a /e,,,,,,,/ a door YK11w1 QRS (s. yAO <br /> J <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 I <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 /> 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. I <br /> (over) <br /> *Permit fee wilt be collected at <br /> the time the permit is issued. <br /> Updated: April 23,2012 <br />