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� � Cit of Orono � <br /> y vC�l 1J�,� - � 4_0�4�5 <br /> Zoning Permit Application i <br /> Mailing Address: Permit number: ��� —d l/ � <br /> ���0 PO Box 66 Date received: /D- 9/ <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> y �, 2750 Kelley Parkway Permit Fee: <br /> � Orono, MN 55356 <br /> �� L Approved by: <br /> �kf S H��� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 '�'�"��v.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: � ��� � �1�,d�, w�o c� �Q(,� <br /> CONTRACTOR/APPLICANT INFORMATION: � <br /> ►vame: 5�1m :5 L���S��u,�� �� L -- <br /> Phone: 6/.�-- 31�b _y��7� Fax: 76 - k7 -a�OG� <br /> Address: Pb c Sly�' Cit : l.vu � ZIP: � <br /> Contact Person: S� r-� �� �f � t Contact's phone ber G�/� - 3��(-•Y.�-7.� <br /> Email _Sar,s 1��c�S�Udc ,��:�.k�'/.�v��,Applicant is: Contract Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: ,�.li►6,.1(�- (^��`� <br /> Phone (day): �1,�- ��U ".��/ �I <br /> Mailing Address: ( �{-�'Q Jti�dy�o�u �1 G� (Qru�., c ZIP: S�S� 9'/ <br /> Email and/or Fax � <br /> Overall Project Description: �.� (�%aG k y�z �}-��„,`y� w� � a� S o�• �`� C c��� u ���,.�c <br /> �BoXk TYPE OF PERMIT COST* <br /> Dock, Commercial $50+engineering review costs <br /> Escrow for erosion control and en ineerin review costs $2,000 <br /> Dock, Residential -Permanent dock on any lake or initial seasonal dock not $50 + engineering review costs <br /> on Lake Minnetonka ermanent dock re uires CUP <br /> Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge <br /> Also requires is a Minor or Major <br /> Land Alteration Permit <br /> Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards $50 <br /> or more than 10 cubic yards in lakeshore setback (also requires CUP) <br /> Escrow for erosion control and en ineerin review costs As determined b CUP <br /> Land Alteration, Minor(grading, filling or excavating)-500 or less cubic $50+ engineering review costs <br /> yards outside of lakeshore setback or less than 10 yards in lakeshore setback <br /> Escrow for erosion control and en ineerin 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 <br /> � of wall) require a building permit. (Tiered retaining walls are considered one <br /> wall unless the walls are separated by twice the height of the lower wall.) <br /> Escrow for erosion control and en ineerin review costs $2,500 <br /> Stairway or Lifts 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 <br /> of less than 120 square feet, detached deck or platform and sport court) <br /> Escrow for erosion control and en ineerin review costs $2,500 <br /> Tree Removal or other ve etation removal in 0 to 75 foot zone No char e. Pre-inspection required. <br /> Tem orar Construction OfficelTrailer associated with buildin ermit $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: January 2014 <br />