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� City of Orono <br /> � Zoning Permit Application <br /> Mailing Address: Permit number: �C�I lr� — O J I Z`) <br /> �Q�O PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: � � <br /> Escrow#and <br /> Street Address: amount: <br /> ,� y. 2750 Kelley Parkway <br /> y�, � Orono, MN 55356 Permit Fee: <br /> G <br /> tqkESHO��' Fax: 952-249-4616 Approved by: <br /> Main: 952-249-4600 Notes: <br /> v✓ww.ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submiftetE. �Flease print.) <br /> C,� / /,) Mn' <br /> Job Site Address: �1��� I 1,,,'��� 11,.1(� ��� ( /rC�;�lG / //V �j S� Gl � <br /> CONTRACTOR/APPLICANT I ORMATION: <br /> Name: ;,l i/,j So <br /> Phone: — `�Z— � , , Fax: <br /> Addressj�'�j-i �i�m;i u���� 2�5� .: � Cit : ' ' � ZIP: ��.-�,��i / <br /> Contact Person: ContacYs phone number <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: <br /> Phone (day): <br /> Mailing Address: ZIP: <br /> Email and/or Fax <br /> Overall Project Description: <br /> Check TYPE OF PERMIT FEE <br /> BOX collected when 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 re uires 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 /> (Reference: 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 /> fReference: 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 <br /> are se arated b twice the hei ht of the lower wall. <br /> Stairway or Lifts to Lake(New or Replacement) [Reference: 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 /> - Tempora Construction Office/Trailer associated with buildin ermit $30 <br /> Updated: May 2015 <br />