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3 " - kt $1 City of Orono <br /> Zoning Permit Application_ <br /> Mailing Address: <br /> Permit number: A 7 Z <br /> PO Box 66 Date received: ( - I� U Gc�inti <br /> Crystal Bay, MN 55323-0066 Escrow#and <br /> Street Address: <br /> amount: <br /> 2750 Kelley Parkway Permit Fee: <br /> Orono, MN 55356 <br /> Approved by: L, <br /> KFS H�� Fax: 952-249-4616 <br /> Notes: <br /> Main: 952-249-4600 www.ci.orono.mn.us !y A4 <br /> addfen�. <br /> This application form must be completed in full and al <br /> lo n must be submitted. (Please print.) <br /> Job Site Address: -/ ��' -� � b� �^'�e-A- -✓�._ <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: 7 �v S <br /> Phone: — /q- e& Fax: 5 L- Z <br /> Address: D e'eCity: rturr_LaKP ZIP: S—�3 7 <br /> Contact Person: yew o phone number !p/Z-y/�$-7� <br /> Email �S�l.,,�Iio�� (��rrR, nct li nt is: Contractor Homeowner (Circle One) <br /> v <br /> PROPERTY OWNER INFORMATION: <br /> Name: (_'thaj Sv <br /> Phone(day): 4, ' 'A I N D <br /> Mailing Address: 0 7*Px 4 L Iv,-4ZIP: 4; 3 C 3 � <br /> Email and/or Fax <br /> Overall Project Description: <br /> Check TY OFPERMIT <br /> Box COST* <br /> Dock, Commercial $50+ engineering review costs <br /> Escrow for erosion control a engineering review costs $2,000 <br /> Dock, Residential— Permanfht dock on any lake or initial seasonal dock not $50 +engineering review costs <br /> on Lake Minnetonka (permg1hent dock requires CUP <br /> Hardcover Permit: Drive ay, Patio, Sidewalk, Etc. (New or Replacement) No charge <br /> Also requires is a Minor or Major <br /> Land Alteration Permit <br /> Land Alteration, MIntrol <br /> (grading, filling, or excavating) more 500 cubic yards $50 <br /> or more than 10 cubards in Lakeshore setback (also requires CUP) <br /> Escrow for erosion and engineering review costs As determined by CUP <br /> Land Alteration, ff#r(grading, filling or excavating)—500 or less cubic $50+ engineering review costs. <br /> yards outside of lJVshore setback or less than 10 yards in lakeshore setback <br /> Escrow for eroshfi control and engineering review costs $2,000 --- whivebr <br /> Retaining Wallreasuring under four feet require a zoning permit. $50+ engineering review costs <br /> Retaining wall measuring more than four feet(from bottom of footings to top <br /> of wall) requiiA 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 engineering 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 engineering review costs $2,500 <br /> Tree Removal or other vegetation removal in 0 to 75 foot zone No charge. Pre-inspection required. <br /> Temporary Construction Office/Trailer associated with building permit) $30 <br /> (over) <br /> ro(J( *Permit fee will be collected when the permit is issued. <br /> f 7 <br /> Updated: January 2014 .�I t 1 O I 3�3� N dry <br />