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� , City of Orono � � Zoning Permit Application , O Mailing Address: Permit number: '� �='� � - �-�.� (�- ' � �O PO Box 66 Date received: �'/ -/ s /�(� Crystal Bay, MN 55323-0066 Escrow#and �� Street Address: amount: � 2750 Kelley Parkway y � Orono, MN 55356 � Permit Fee: � F (� l�'�ESH04�G Fax: 952-249-4616�yy/` Approvedby: Main: 952-249-4600 �� Notes: www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. (P/ease print.) Job Site Address: G,� J � (� OG� CONTRACTOR/APPLICANT INFOR ATION: Name: Phone: l -� � - � 2 ' Fax: Address: 1 . cCu�� - Ci : ,�r�N ZIP: S Contact Person: - ' e,� d ContacYs phon �y"d�n � Email �rl�.hulc;ey � ydROd: C%als�l Applicant is: C ntractor Homeowner (Circle One) PROPERTY OWNER INFORMATION: Name: � ' � �/��i ' Phone(day): � Mailing Address: �!C 12 cz ZIP: Email and/or Fax Overall Project Description: 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 re uires 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) (Reference: 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 lReference: 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 the hei ht of the lower wall. Stairway or Lifts to Lake(New or Replacement) lReference: Citv Code Sections 78-12821 $50+engineering review costs Escrow for erosion control and 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 fReference: Ciri Code Secfion 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: Ci Code Section 78-1285 Pre-inspection required. Tem ora Construction Office/Trailer associated with buildin ermit $30 Updated: May 2015