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City of Orono ' Zoning Permit A plication � Marling Addiess: Permit number: �`��1�� -��'�� "� I �� '1 �J�r '� PO Box 66 Date received � "`� '- � - ; �� Crysta� Bay, MN 55323-0066 ;i � Escrow#and ��. 1�'� � Skreet Address amount: � �` � i 275Q Kelley Parkway � �� t Permit Fee� E7 \ ;, �. j Orono, MN 55356 , �. ` r � �,v.�., l �";` APProved by: '� �,�L � �,,'�K��y't-j�� ;� Fax: 952-249-4616 - -- Main: 952-249-4600 Notes: www.ci.orano.mn.us This application form must be completed in full and all required information must be submitted. (Please print.) 1�'�- _�� 1 Job Site Address: � � � ,� ��'��A J�� j'1 �-�� - GONTRACTOR!APPLICANT INFORMATION: 7 l ,: ) �" f\J4 4t,.,'�.i Name: -2'� L"��,� - - ' i1 ��(k�.�� C` U C�n c� �,1��.t'- �� i�-� Phone: Fax: �— Address: City: ZIP: Contact Person: Contact's phone number Email Applicant is: Contractor Homeowner (Circle One) PROPERTY OWNER IN M(�lT��l-Orl�:., �� _ h�T Name: f7'` t"� �rt.�.��-t Phone (day}: • � Mailing Address: Cpl�NT 7_IP: Email andlor Fax a� � � � _�--- Overall Project Descriptian: !S� �9 Q�� Check T PE O PERMIT EE Box collected when ermit is issued dock,Commercial $50+engineering review costs Escrow for erosion control and en ineerin review casts $2,000 ; Dock, Residential - Permanent dock on any lake or initial seasonal dock not on Lake $50+engineering review costs ' Minnetonka(permanent dock requires C U1P) ______._ —-_--�-- __ Hardcover Permit: Driveway, Patio,Sidewalk,etc.(New or Replacement) No charge Also re uires is a Minor or hta'or Land Alteration Permit Land Alteration, Major (grading, fdling; ar excavating) of more than 500 cubic yards $50 beyond tne lakeshore setback OR more than 50 cubic yards within the lakeshore setback � (also requires Conditional Use Permit} � (Reference� Citv Code Sections T8-967.78-1247 and 78-1286] j � Escrow for erosian control and engineering review costs _ As determined b CUP i r Land Alteration, Minor(grading, filling or excavating)of 51 to 500 cubic yards beyond the $50+engineering review costs � � lakeshore setback OR 50 cubic yards or less within the lakeshore setback � (Reference� Citv Code Sections 78-967.78-1247 and 78-i2&6) ' Escrow for erosion control and engineering review costs $2,000 Retaining Walls which exceed two feet in height above existing grade; or result in more $50+engineering review costs � � than 20 c�bic yards of imported fill; or are located less than five feet from the property line. � � Escrow for erosion control and engineering review costs $2,500 i j [Reference: Citv Gode Section 78-1405(5.1)1 I � Retaining Watls which measure rnore than four feet(from bottom of foatings to top of wall) i require a building permit. Tiered retaining walls are considered one wall unless the walls � are se arated b twice the hei ht of the lower wall. , Stairway or�ifts to�ake{New or Replacement) (Reference: Citv Code Secrfons 78-12821 $50+engineering review costs � Escraw for erosion control and engineering review costs $2,000 Structure Permit for other structures 200 sf or less not requiring a building permit but $50+engineering review costs regulated by the zoning code(Reference: Citv Code Section 86-651 Escrow for erosion control and engineerin review costs __ $2,500 �_.__� _..._.--- _. - � Tree Removal or other vagetation removal within 75 feet of lakes No charge. � ; (Reference: City C.'ode Section 78-12851 Pre-inspection required. --...______._..._._ — __._.---- � ,Temporar Construction Office/Trailer(associated with buildin ermit $30 Updated: May 2015