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� � -- City of Orono ' Zoning Permit Application Mailing Address: Permit number: �?�C-� � � ,'(.;' -�1 � ---z �O�O CrysBtal Bay, MN 55323-0066 Date received: %�� /�% -7 Escrow#and Street Address: amount: - � � 2750 Kelley Parkway -,�� y ; Orono, MN 55356 Permit Fee: � F �,q �,�' Approved by: k£SHO� Fax: 952-249-4616 Main: 952-249-4600 Notes: �,vv��s✓.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. (P/ease print.) Job Site Address: � � !��? .5 ��L��G� �G/,�J�� [��_V.�� CONTRACTOR/APPLICANT INFORMATI�, y Name: �N/�/S G/I�f�''!/�C%/� �Gv L-,��r�s"c�r�� -z�-�� , Phone: (�/Z- — Z� � '��g' �.-+ Fax: � Address: F? G►� /jG}G �5'� City: L.�I� ZIP: �$ �,y 7 Contact Person: ' �!2/ S �U ContacYs phone number �;/�—2�G -�'1 i�-r� Email �"'��U�JL � �;,.;r�.wJ.��r��f Applicant is: on racto� Homeowner (Circle One) . C.urh PROPERTY OWNER INFORMATION: Name: Phone(day): Mailing Address: ZIP: Email and/or Fax Overall Project Description: CBoXk TYPE OF PERMIT collected whenE ermit is issued Dock, Commercial $50+engineering review costs Escrow for erosion control and en ineerin review costs $2,000 Dock, Residential — Permanent dock on any lake or initial seasonal dock not on Lake $50+engineering review costs Minnetonka ermanent dock re uires CUP Hardcover Permit: Driveway, Patio, Sidewalk,etc.(New or Replacement) No charge Also requires is a Minor or Ma'or Land Alteration Permit Land Alteration,Major(grading,filling,or excavating)of more than 500 cubic yards beyond $50 the lakeshore setback OR more than 50 cubic yards within the lakeshore setback (also requires Conditional Use Permit) [Reference: Citv Code Seciions 78-967. 78-1247 and 78-12861 Escrow for erosion control and engineering review costs As determined b CUP 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 78-12861 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 cubic 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 fReference: Citv Code Secfion 78-1405(5.1)1 Retaining Walls which measure more than four feet(from bottom of footings to top of wall) 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 Lifts to Lake(New or Replacement) (Reference: Citv Code Sections 78-12821 $50+engineering review costs Escrow 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 lReference: Citv Code Section 86-661 Escrow for erosion control and en ineerin review costs $2,500 Tree Removal or other vegetation removal within 75 feet of lakes No charge. Reference: Cit Code Section 78-1285 Pre-inspection required. Temporar Construction Office/Trailer associated with buildin permit $30 Updated: January 2017