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� , , <br /> � City of Orono <br /> , <br /> , Zoning Permit Application <br /> O Mailing Address: Permit number: O� �� �� ` <br /> � � PO Box 66 7_� 7 <br /> O Crystal Bay, MN 55323-0066 Date received: �— <br /> Escrow#and �1 <br /> Street Address: amount: �v <br /> 2750 Kelley Parkway <br /> y ` Orono, MN 55356 Permit Fee: <br /> F <br /> ! �,�' Approved by: rn ��" <br /> qkES H�� Fax: 952-249-4616 <br /> Main: 952-249-4600 Notes: • �•y � I � <br /> w�,nv�.ci.orono.mn.us �- <br /> This application form must be completed in full and all required information must be submitted. (P/ease print.) <br /> Job Site Address: +" C�S�(�k�-'�e� ���n�ss 'C�nkec -aS�� 5}��.dywoa�.. 1�-_ <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: l.� ra-f' L.I..L' . <br /> Phone: (D 1 •3(03-33a 1 Fax: <br /> Address: N �O 1\"� (�.�t. So. City: b�k;ns ZIP: ..$�S3 43 <br /> Contact Person: (�\�c l�Qo��s ContacYs phone number �la -3�3 �33d 1 <br /> Email a,.,�Q,�,� �;��,,,�,��,�.��,, Applicant is: ontractor Homeowner (Circle One) <br /> 7 <br /> PROPERTY OWNER INFORMATION: <br /> Name: o�� s L.L.C_ <br /> Phone(day): Co a-3Co?�-3 3a� <br /> MailingAddress: ~I lo ��� R��. S_ _ H�Dk�n� ZIP: SS3y3 <br /> Email and/or Fax a�l.�x � M:�.\ac��1 � �o� <br /> Overall Project Description: �. r�s�t'�\\ o� 0., d Q� Z� �� W�-�o,,,a. <br /> CBoXk TYPE OF PERMIT collected whenE ermit is issued <br /> Dock, Commercial $50+engineering review costs <br /> Escrow for erosion control and en ineerin review costs $2,000 <br /> Dock, Residential - Permanent dock on any lake or initial seasonal dock not on Lake $50+engineering review costs <br /> Minnetonka ermanent dock re uires CUP <br /> Hardcover Permit: Driveway, Patio, Sidewalk,etc.(New or Replacement) No charge <br /> Also requires is a Minor or Ma'or Land Alteration Permit <br /> Land Alteration,Major(grading,filling,or excavating)of more than 500 cubic yards beyond $50 <br /> the lakeshore setback OR more than 50 cubic yards within the lakeshore setback (also <br /> requires Conditional Use Permit) <br /> lReference: Citv Code Sections 78-967. 78-1247 and 78-12861 <br /> Escrow for erosion control and engineering review costs As determined b CUP <br /> Land Alteration, Minor(grading, filling or excavating)of 51 to 500 cubic yards beyond the $50+engineering review costs <br /> lakeshore setback OR 50 cubic yards or less within the lakeshore setback <br /> lReference: Citv Code Sections 78-967. 78-1247 and 78-1286) <br /> Escrow for erosion control and engineering review costs $2,000 <br /> Retaining Walls which exceed two feet in height above existing grade; or result in more $50+engineering review costs <br /> than 20 cubic yards of imported fill; or are located less than five feet from the property line. <br /> Escrow for erosion control and engineering review costs $2,500 <br /> (Reference: Citv Code Section 78-1405(5.1)1 <br /> Retaining Walls which measure more than four feet(from bottom of footings to top of wall) <br /> require a building permit.Tiered retaining walls are considered one wall unless the walls are <br /> se arated b twice the hei ht of the lower wall. <br /> Stairway or Lifts to Lake(New or Replacement) IReference: Citv Code Sections 78-12821 $50+engineering review costs <br /> Escrow for erosion control and engineering review costs $2,000 <br /> Structure Permit for other structures 200 sf or less not requiring a building permit but $50+engineering review costs <br /> regulated by the zoning code[Reference: Citv Code Section 86-661 <br /> Escrow for erosion control and en ineerin review costs $2,500 <br /> Tree Removal or other vegetation removal within 75 feet of lakes No charge. <br /> Reference: Cit Code Section 78-1285 Pre-inspection required. <br /> Temporar Construction Office/Trailer associated with buildin permit $30 <br /> Updated: January 2017 <br /> I <br />