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p.1 <br /> r E13/251'2013 09:33 9522494616 OROND PAGE 01/02- _ <br /> City of Orono <br /> Zoning Permit Application <br /> Mai7rngRddress: <br /> Permit minter. �/3 —Ob 5).'R•7 <br /> SLO j-� PO o ss Date received; F— v 5 -43 <br /> V Crystal Bay,MN 55323.0066 <br /> Escrow ii and <br /> Street Address: amount <br /> 2750 Kelley parkway <br /> Permit Fee. <br /> ' �� Qrono,MN 55356 <br /> �4 k s fi c gt Fax 952-249-4616 Aper°Yea br: <br /> Notes' <br /> Main: 952.2494600 'ood-ti.crno.rr,1.4s <br /> This application form must be completed in` full and ail required information must be submitted. (Please pr-M.) <br /> Job Site Address: 116,Ey-6 VUb r{ V 0 f'6i-7 p1 e e, / 5(454D y S ST <br /> CONTRACT9 1 APPLICANT INFO MATION: -,�f,, <br /> Name: t NGT- ik S e (NAIL -5drl <br /> Phone: Fax: <br /> Address: . ity <br /> Contact Person: W K �_ an Contact's phon ' -• ?t_l^ k( r r_ <br /> Email Applicant is: Contractor- Homeowner (Circle One} <br /> PROPERTY OWNER INFORMATION: <br /> Name: U'i '-k.fleqr-i6-1 <br /> Phone(day): a .. - <br /> Mailing Address: S-'0 ��,, i, ss ' 0 l i • 3 ZIP: At. <br /> Email andlor Fax I <br /> 1 <br /> Overall Project Description: <br /> Check TYPEOF <br /> Bea 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-r 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 <br /> -Iso re•uired is a Minor or Maor 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 en_ineerin' 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 lass than 10 yards in Lakeshore setback <br /> Escrow for erosion control and engineering review costs $2,00D <br /> Retaining Wall measuring under four feetrequireazoningpermit. $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 en ineerin review costs $2,000 <br /> I 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 tor erosion control and engineering iew costs $200 <br /> Tree Removal or other vegetation rerrtovai in 0 to 75 foot zone No charge. <br /> Temporary ConstroctlonOffic&Trailer(associated with building permit) $30 <br /> (over) <br /> *Permit fee Wit be collected when the permit is issued. <br /> Updated: November 30.2012 <br />