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• �� ��, , City of Orono <br /> � Zoning Permit A lication <br /> O Mailing Address: Permit number. h � �Cj� '' �-�-��-- <br /> � �O PO Box 66 �c <br /> Crystal Bay, MN 55323-0066 Date received: • L� <br /> Escrow#and �� <br /> Street Address: amount: <br /> � 2750 Kelley Parkway <br /> y �� Orono, MN 55356 Permit Fee: N�}- <br /> G y�,� <br /> lqXESH�4� Fax: 952-249-4616 APProved by: �Y`� <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. (P/ease print.) <br /> Job Site Address: ��� �(������ �• <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: 41�{,r► $/'�• <br /> Phone: Fax: <br /> Address: City: "^- <br /> Contact Person: �p(,(,� (��ph ContacYs phone number _ �l�� ��� <br /> Email Applicant is: Contractor � <br /> PROPERTY OWNER INFORMATION: I� � �� ' <br /> Name: �GlA,ll /�r1 lJ�� Na . �d � � <br /> Phone(day): <br /> Mailing Address: �04 SI�tqQryV 00 �1w <br /> Email and/or Fax Q� � UI�yQ�- � <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 Alteratton 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 /> L.and 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 /> lReference: 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 /> CReference: Citv Code Sectfon 78-1405f5.1)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: Cltv Code Sections 78-12821 $50+engineering review costs <br /> Escrow for erosion control and engineering review cos#s $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: Cihr 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 /> eference: Cf Code Section 78-l285 Pre-ins ection re uired. <br /> Tem ora Construction O�ce/Trailer associated with buildin rmit $30 <br /> Updated: May 2015 <br />