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City of Orono <br /> Zoning Permit Application Q� <br /> Permit number: cO/6-k-0/56 UW <br /> Mailing Address: <br /> Btal By, MN 55323-0066Date received: ll— 6 —and <br /> StreetAddress: ��I0� � (Imount:2750 Kelley Parkway Permit Fee: /Orono, MN 55356 ` � �� <br /> Approved by: <br /> 1SHpaFax: 952-249-4 41,7 <br /> �� Notes: <br /> Main: 952-249-4600 www.ci.orono.mn.us / <br /> Ill//-5V rel. Kla ,564- t lit(Qa 0_071-- <br /> This <br /> i h— <br /> This application form must be completed in full a all req �� in`fform tion must be sul3nniitted. (Please priVit.) <br /> I <br /> Job Site Address: 1 a'a5 Octo,Jo 0/ck DZtvL= Q Z JO M04 S-S3S j, <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: C: kr; s Eriksson <br /> Phone: (o t'a.-3 Vo - 50 9`1 Fax: <br /> Address: 0o1.5 0a-two 6 Aries bite f/1) City:©/Lo7VC ZIP: S5-3 S <br /> Contact Person: Gh r;S Contact's phone number ro/,t -3?6, -Sof 9 <br /> Email 6.t eF iC. ci ee ri,,,/,cm,Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: Ch"-I'S ooNA S' 11-Iii✓1.0-- ect` SS1v\- <br /> Phone (day): &la- '38(0- 5011 <br /> Mailing Address: l�l1S Oft o pprIGS NZI/e_, DYloWD M,./. ZIP: Ss-3S--y <br /> Email and/or Fax <br /> Overall Project Description: c CAcidt‘hK F'\l in 1/2.-tK S;cies c C dr \te way prel ev►.-t foarS <br /> w <br /> Ffal 6V(4:Ali 6Ef 4c v ,lay / <br /> Check TYPE OF PERMIT 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 4 <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 /> )C 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 />