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City of Orono
<br /> � � � � Zoning Permit Application
<br /> Mailing Address: Permit number:
<br /> .Q,Q JI� PO Box 66 Date received:
<br /> Qy �`V Crystal Bay, MN 55323-0066
<br /> � Q Escrow#and
<br /> ���'�'� � Street Address: amount:
<br /> `� � �'�;��_.�.•> ti � 2750 Kelley Parkway Permit Fee:
<br /> �� ��` � ���'�y p� Orono, MN 55356
<br /> t�y �1� YT` �v Approved by:
<br /> kESH��'
<br /> - Fax: 952-249-4616 Notes:
<br /> Main: 952-249-4600 `,',',',�,', =' ���=''�� ` '—:�
<br /> This application form must be completed in full and all required information must be submitted. (P/ease print.)
<br /> Job Site Address: c��rU�c'��� ��,�� <�: �(�'S /lc���i �� ,�d•. . � .�y�/�/ .�S:s'E'y
<br /> 1 � ��:�- l.r,� i vn csu,
<br /> CONTRACTOR!APPLICANT INFO�ATION:
<br /> Name: ;T,y-�o= �,r.:� �
<br /> Phone: � - �/gz -$/� Fax: 5�-5z �/ L � S I�I'
<br /> Address: .�y y� ,ala fiF 1�-,k<< City: ,T-� w� ZIP: �'S.� 5 2.
<br /> Contact Person: � ContacYs phone n r gs� - � 1 -jit�c
<br /> Email ';��l1er�� �` � L,�;,�pplicant is: ontractor\� Homeowner (CircleOne)
<br /> PROPERTY OWNER INFORMATION:
<br /> Name: ��,.n� C.U-t%,t�(s�r.��✓�.
<br /> Phone (day): E�e2-3Z�-7Sp!
<br /> Mailing Address: /C���,r � �� � 1`` � . . - d�li ZIP: S,` �s
<br /> Email and/or Fax [;��rf'. � � �. �'� -,r, f- -t:c�n
<br /> Overatl Project Description: ���� �{�,� ,„.� T��{-�� � 4 ;, ;,�,,.
<br /> f �\� t cAv-�..1 Lel.� � . �v.�_ i,� _ � :,�: � . �-
<br /> Check l(�,c.:�� � 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
<br /> Escrow for erosion control and engineerin review costs $2,000
<br /> Driveway Permit (New or Replacement) No charge
<br /> Also re uired is a Minor or Ma'or 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 b 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 engineerin 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
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