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� . y � <br /> ��1�' ,p� City of Orono <br /> � �� Zoning Permit Application <br /> Mailing Address: Permit number: �'d��7 d <br /> AQN PO Box 66 Date received: ����� <br /> 1 O Crystal Bay, MN 55323-0066 <br /> Escrow#and 1', <br /> Street Address: amount: W ���� <br /> 2750 Kelley Parkway <br /> y ; Orono, MN 55356 Permit Fee: <br /> �! F,�' Approved by: <br /> qkESH�� Fax: 952-249-4616 <br /> Main: 952-249-4600 Notes: <br /> www.ci.orono.mn.us ' �" I� Q'(� <br /> 1 �� <br /> This application form must be completed in full and alf required informaiion m st be submitted: (Please print.)' <br /> Job Site Address: � � � � `�'�'�0 2-EL--� �� �iZ-���'C <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: <br /> Phone: � Fax: — -- Z <br /> Address: Cit : ZIP: <br /> Contact Person: ��'��i,��l��i�ontacYs phone number �' " <br /> Email �(�{ZS� � Q-�'/.j Applicant is: ntractor Homeowner ( ircle One) <br /> k3'R.nS_C�-�� <br /> PROPERTY OWNER INFORMATION: <br /> Name: �G f�-�1 � ��,�,���1� ���� <br /> Phone(day): �- -- <br /> Mailing Address: ►�E�_�� ���p y.����i�vEZ�P: S53�I I <br /> Email and/or Fax c�.> <br /> Overall Project Description: �E'(�1�-{+1t�i�7�'T- �b�'+ .z_ '�� �-k� <br /> Check TYPE OF PERMIT FEE <br /> Box col/ected when ermif 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 re uires'is a Minor or Ma'or Land Alferation 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 /> (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 /> lReference: 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 /> (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) lReference: Citv Code Sections 78-12821 $50+engineering review costs <br /> Escrow for erosion control and engineering review costs $�I,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 /> Reference: Ci Code Secrion 78-1285 Pre-inspection required. <br /> Tem ora Construction OfficelTrailer associated with buildin ermit $30 <br /> Updated: January 2017 <br />