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. � <br /> � _ City of Orono <br /> ' Zoning Permit A lication �D/ � <br /> Mailing Address: Permit number. "� — <br /> �� PO Box 66 <br /> �Q Crystal Bay, MN 55323-0066 Date received: <br /> Escrow#and <br /> Street Address: amount <br /> 2750 Kelley Parkway <br /> y ` Orono,MN 55356 Permit Fee: <br /> � G <br /> l,q �y Approved by: <br /> kE S H o4 Fax: 952-249-4616 <br /> Main: 952-249-4600 Notes: <br /> www.ci.orono.mn.us <br /> This appfication form must be completed in"fuli and all required information must be submitted:+(P/ease print.) <br /> Job Site Address: ) ��� �h Otf�l.l��. �Y. <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: I * �rD a xa <br /> Phone: (� F : <br /> Address: , Ci : � ZIP: <br /> Contact Person: r w•�, ContacYs phone number (��1- ��j�- �Cjyq <br /> Email �.,�,� 4]��y�„���.�Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNEI�INFORMATION: , <br /> Name: G O F �' q <br /> Phone(day): Z. <br /> MailingAddress: (n S. S-r+� _ ��}� ���15 �� ZIP: � �� <br /> Emai1 and/or Fax ��,,_�� ���o���• �D� <br /> Overall Project Description: ` .� 4 <br /> CBoXk 7YPE OF PERMIT collecfed 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 r uires CUP <br /> Hardcover Permit:Driveway, Patio,Sidewalk,etc.(New or Replacement) No charge <br /> Also re uires is a Minor ar Ma'or Land Alteration Permif <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 7&967.78-1247 and 7&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 setbadc <br /> lReference: Cltv Code Sections 78-967.7&1247 and 7&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: Ckv 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: Ciri Code Sections 7s-12s2i $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 IReference: Citv Code Section 86-66T <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 /> eference: C' code secffon 7&9285 Pre-ins ection re uired. <br /> Tem ora Construction Officefl'railer associated with buildin ertnit $30 <br /> Updated: January 2017 <br />