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� City of Orono <br /> '� Zoning Permit Application � v �� <br /> Mailing Address: <br /> Permit number: C�b�p� —�.S <br /> .Q,� �I� PO Box 66 Date received: "�� �� <br /> Qy �`V Crystal Bay, MN 55323-0066 <br /> N� Q Escrow#and <br /> �,�;'��" _ Street Address: amount: <br /> `� ,'� ��-�1-�� F 2750 Kelley Parkway Permit Fee: <br /> �������Y�� �,� Orono, MN 55356 <br /> �kESH�4'� Approved by: <br /> Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 `N'N`^i.ci.orono.mn.us <br /> This application form must be completed in full and all required information mus e sub ted. ( a print.) <br /> Job Site Address: �� �'� �!-f ��L� �' C� /^�� <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: <br /> Phone: Fax: <br /> Address: Cit : ZIP: <br /> Contact Person: Contact' hone number <br /> Email A licant : Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION• j <br /> Name: , � <br /> Phone (day): -- 7 $" <br /> Mailing Address: T,� �" 0 ZIP: <br /> Email and/or Fax jf' ,. <br /> Overall Project Description: <br /> Check PE OF PERM <br /> Box COST* <br /> Dock, Residential — ermanent ck on any lak r initial se on� ock not on $50 + engineering review costs <br /> Lake Minnetonka e anent doc equires CUP <br /> Dock, Commercial $50+ engineering review costs <br /> Escrow for erosion co trol and engi eering revie costs $2,000 <br /> Driveway Permit(New r Replacem t) No charge <br /> Also re ired is a Minor Ma�or Land ration ermit <br /> Land Alt ion, Major( ading, filling, or ating) more 500 cubic yards or $50 <br /> more than 10 bic yards i lakeshore setback(also requires CUP) <br /> Escrow for erosi control d engineering review costs As determined b CUP <br /> \ � Land Alteration, r(gra �ng, filling or excavating)—500 or less cubic yards $50+ engineering review costs <br /> �C outside of lakeshore se ck less than 10 yards in lakeshore setback <br /> Escrow for erosion contr n ngineering review costs $2,000 <br /> Retaining Wall measuring u r ur feet require a zoning permit. $50+ engineering review costs <br /> Retaining walls measuring more 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 en ineerin review costs $2,500 <br /> Tree Removal or other ve etation removal in 0 to 75 foot zone No char e. <br /> (over) <br /> *Permit fee will be collected at <br /> the time the permit is issued. <br /> Updated: December 30,2011 <br />