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City of Orono <br /> � ' Zoning Permit Application <br /> . <br /> O Mailing Address: Permit number: J'v V�j�� <br /> �, �O PO Box 66 Da t e re c eiv e d: �� � <br /> Crystal Bay, MN 55323-0066 �;!/'w <br /> Escrow#and <br /> Street Address: amount: <br /> 2750 Kelley Parkway <br /> � ; Orono, MN 55356 Permit Fee: <br /> F G <br /> �,9 �, Approved by: <br /> kES N O� Fax: 952-249-4616 <br /> Main: 952-249-4600 Notes: <br /> www.ci.oror�o.mn.us <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: 72.� �q�/����� �}�77rC.j(�1' ����'�C7 <br /> CONTRACTOR/APPLICANT INFORMATION: /' <br /> Name: `���,�.. �o r'�+-aS�� r�✓ ��N� ��_ �—b�..�C��/i� <br /> Phone: Cj�--q-t b -e�.��- Fax: <br /> Address: 725^Gp�s�Y j'Z,c�p � City: pnQ,N p ZIP: S-�'•Zc��� <br /> Contact Person: ��w�, �o yat,•i So v ContacYs phone number <br /> Email .�,�„�,�_SR�' ��.�. h�il aG, ��;�PPlicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNE�NFORMATION: <br /> Name: ��ti�:;[,,._}�-.t,l o �.�= �u-�-- J-t+^� �o bA-,�vgp.`! <br /> Phone (day): ���"Z-4T�- 4g�?�"' <br /> Mailing Address: 72S'Co.�r?'i" QoA�p 4 w»...fz.r�r'�- �Md Z�P� �`3�1 { <br /> Email and/or Fax ���_� r�������� �Q,�� <br /> Overall Project Description: �oc,F- ?1Zp�ro�a,,�,�, �a�, <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 $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 /> �� (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) fReference: 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 86-66) <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 /> Temporar Construction Office/Trailer associated with buildin permit $30 <br /> Updated: May 2015 <br />