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� , , � City of Orono , , Zoning Permit Application O Mailing Address: Permit number: O� �� ` � � PO Box 66 7_� 7 O Crystal Bay, MN 55323-0066 Date received: �— Escrow#and �1 Street Address: amount: �v 2750 Kelley Parkway y ` Orono, MN 55356 Permit Fee: F ! �,�' Approved by: rn ��" qkES H�� Fax: 952-249-4616 Main: 952-249-4600 Notes: • �•y � I � w�,nv�.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: +" C�S�(�k�-'�e� ��n�ss 'C�nkec -aS�� 5}��.dywoa�.. 1�-_ CONTRACTOR/APPLICANT INFORMATION: Name: l.� ra-f' L.I..L' . Phone: (D 1 •3(03-33a 1 Fax: Address: N �O 1\"� (�.�t. So. City: b�k;ns ZIP: ..$�S3 43 Contact Person: (�\�c l�Qo��s ContacYs phone number �la -3�3 �33d 1 Email a,.,�Q,�,� �;��,,,�,��,�.��,, Applicant is: ontractor Homeowner (Circle One) 7 PROPERTY OWNER INFORMATION: Name: o�� s L.L.C_ Phone(day): Co a-3Co?�-3 3a� MailingAddress: ~I lo �� R��. S_ _ H�Dk�n� ZIP: SS3y3 Email and/or Fax a�l.�x � M:�.\ac��1 � �o� Overall Project Description: �. r�s�t'�\\ o� 0., d Q� Z� �� W�-�o,,,a. 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 beyond $50 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 lReference: Citv Code Sections 78-967. 78-1247 and 78-1286) 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) IReference: 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[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: Cit Code Section 78-1285 Pre-inspection required. Temporar Construction Office/Trailer associated with buildin permit $30 Updated: January 2017 I