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, ' City of Orono <br /> Zoning Permit Application <br /> O Mailing Address: Permit number: l7� <br /> g � PO Box 66 _ �/ <br /> O Crystal Bay, MN 55323-0066 Date received: <br /> Escrow#and <br /> Street Address: amount: <br /> � � 2750 Kelley Parkway <br /> y 1 Orono, MN 55356 Permit Fee: <br /> � G <br /> !q F, Approved by: <br /> '�FS H�� Fax: 952-249-4616 <br /> Main: 952-249-4600 Notes: <br /> www.ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: �-C'� �e �r���� �l�L: L� ��'F�`� J���1 <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: `.:��;�1�II (� ��='�,71C71� <br /> . �..,_ . <br /> Phone: 5!, �2 C:` . 3 C �,p Fax: (� /- � � <br /> Address: 3 fl�G� G Cit : ST UL� ZIP: 2 <br /> Contact Person: i�,- �- l�-�,C>p� ContacYs phone (C�� �� — 3 <br /> Email y� o �u, ��� � 1 ,��plicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER NFORMATION: <br /> Name: JV:.�fJ Il,'� C-�� <br /> Phone(day): y. o --- � <br /> Mailing Address: ��P� C% F' C� ZIP: 5 <br /> Email and/or Fax <br /> Overall Project Description: �0�1� �C 10 � ��i � � - L [� ' /��C: �r�" �a � �A��9�"Z' <br /> �BoXk 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 Replace ent) No charge <br /> Also re uires is a Minor or Ma'or Land Alteration Pertnit --� '� ��' '" <br /> Land Alteration,Major(grading,filling,or excavating)of more than 500 cubic yards beyond $ <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 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 /> IReference: Citv Code Sec6ons 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: Ciri 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 IReference: 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 Section 78-1285 Pre-inspection required. <br /> Tem ora Construction Office/Trailer associated with buildin ermit $30 <br /> CEIVI�� <br /> Updated: January 2017 �Uy o � P�4I' ' <br /> CITY OF ORONQ <br />