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� City of Orono <br /> � <br /> � Zoning Permit Application �1�� <br /> Mailing Address: Permit number: �%L l 7 �i���`�'.��� <br /> �Q�O PO Box 66 . Z <br /> Crystal Bay, MN 55323-0066 Date received: -- � .1 ""� <br /> Escrow#and <br /> Street Address: amount: <br /> 2750 Kelley Parkway <br /> y ; Orono, MN 55356 Permit Fee: <br /> F G <br /> F, Approved by: <br /> `�kESHO� Fax: 952-249-4616 � 1,�5 u u <br /> Main: 952-249-4600 Notes: (7 - OO -1 I <br /> v✓ww.ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: ��'i��c'� S hc..<},y���,h, �c�.� <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: �-:� ; 4 . <br /> Phone: Fax: <br /> Address: City: ZIP: <br /> Contact Person: ContacYs phone number <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: Ai� l�� c���-t� � �� ''P L. .�, <br /> Phone(day): (��;�- 3(u •3j�� <br /> Mailing Address: y/p i!� A��,Sc�. l�u�k�.�s� ���+'' ,�S3y� ZIP: <br /> Email and/or Fax A\�x � M�v.�n�c:lc..ss , c..�:,�� <br /> Overall Project Description: � t�s-1��:�\\ cf �1� .��� r:, �.:� �s W�+���. <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 �� � ' � o $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 $50 <br /> beyond the lakeshore setback OR more than 50 cubic yards within the lakeshore setback <br /> (also requires Conditional Use Permit) <br /> (Reference: 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 /> fReference: Citv Code Sections 78-967. 78-1247 and 78-12861 <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 /> lReference: Citv Code Section 78-1405(5.1)) <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 <br /> are se arated b twice the hei ht of the lower wall. <br /> Stairway or Lifts to Lake(New or Replacement) lReference: 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 lReference: 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 /> lReference: Citv Code Section 78-12851 Pre-inspection required. <br /> Tempora Construction Office/Trailer associated with buildin permit $30 <br /> Updated: May 2015 <br />