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� City of Orono Zoning Permit Application Mailing Address: Permit number: �� li " �J�- �� �Q PO Box 66 �O Crystal Bay, MN 55323-0066 Date received: �,;� � �y� Escrow#and � Street Address: amount: ,� � 2750 Kelley Parkway permit Fee: y� ` Orono, MN 55356 G l�'`�ES H O4� Fax: 952-249-4616 Approved by: r-� �y�,2 fj L;..-� /�/1�y Main: 952-249-4600 Notes: www.ci.orono.mn.us This application form must be completed in full and alt required information must be submitted. (Please print.) Job Site Address: �g q0 S ti a d�wa od' r'�� CONTRACTOR/APPLICANT INFQRMATION: Name: Str�� -��k�'.�so•.. Phone: 6►2 "73.f 6 t 4 Z Fax: Address: y�Sa C o„rA i2 b s O City: Q,o�A M o ZIP: SS�L� Contact Person: � ContacYs phone number Email Applicant is: ontractor Homeowner (Circle One) PROPERTY OWNER INFORMATION: Name: /'h�kc �- I�.��P/� L�no��•q Phone (day): 952- 300 �il SO Mailing Address: l8qo S[,od,. wood R� ZIP: Sf3 ql Email and/or Fax Overall Project Description: KP f�� -a�� 'o doc CBoXk TYPE OF PERMIT collected whenE ermit is issued Dock,Commercial $50+engineering review costs Escrow for erosion control and en ineerin review costs $2,000 Dock, Residential — Permanent dock on any lake or initial seasonal dock not on Lake $50+engineering review costs Minnetonka ermanent dock re uires CUP Hardcover Permit: Driveway, Patio,Sidewalk,etc.(New or Replacement) No charge Also requires is a Minor or Ma'or Land Alteration Permit Land Alteration, Major (grading, filling, or excavating) of more than 500 cubic yards $50 beyond the lakeshore setback OR more than 50 cubic yards within the lakeshore setback (also requires Conditional Use Permit) lReference: Citv Code Sections 78-967. 78-1247 and 78-12861 Escrow for erosion control and engineering review costs As determined b CUP Land Alteration, Minor(grading, filling or excavating)of 51 to 500 cubic yards beyond the $50+engineering review costs lakeshore setback OR 50 cubic yards or less within the lakeshore setback IReference: Citv Code Sections 78-967. 78-1247 and 78-12861 Escrow for erosion control and engineering review costs $2,000 Retaining Walls which exceed two feet in height above existing grade; or result in more $50+engineering review costs than 20 cubic yards of imported fill; or are located less than five feet from the property line. Escrow for erosion control and engineering review costs $2,500 (Reference: Citv Code Section 78-1405(5.1)1 Retaining Walls which measure more than four feet(from bottom of footings to top of wall) require a building permit. Tiered retaining walls are considered one wall unless the walls are se arated b twice he hei ht of the lower wall. XStairwa�y o�ifts ake w or Replacement) lReference: Citv Code Sections 78-12821 $50+engineering review costs `EserO n�i fo�rosion d engineering review costs $2,000 Structure Permit for other structures 200 sf or less not requiring a building permit but $50+engineering review costs regulated by the zoning code(Reference: Citv Code Section 86-661 Escrow for erosion control and en ineerin review costs $2,500 Tree Removal or other vegetation removal within 75 feet of lakes No charge. Reference: Cir Code Section 78-1285 Pre-inspection required. Tempora Construction OfficelTrailer associated with buildin ermit) $30 Updated: May 2015