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City of Orono <br /> qy`Z Zq2 -��v30 <br /> Zoning Permit Application <br /> Mailing Address: Permit number: c) -7 ,,,z 9 9 <br /> gQ�O PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: <br /> Escrow#and <br /> Street Address: amount: <br /> 2750 Kelley Parkway <br /> y Orono, MN 55356 Permit Fee: <br /> l�kESHOQ'� Fax: 952-249-4616 Approved by: <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 /> Vob Site Address: <br /> t' r1It�4ONTRACTOR/APPLI�INATION: <br /> {) Name: _ t? iC <br /> j Phone: -2 Fax: <br /> Address: ZZ City: GUh ZIP: <br /> Contact Person: d Contact's phone nu_nibaL, 2-/7 <br /> Email s L�0, COplApplicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER FORMATI N: <br /> Name: V y�y��_ <br /> Phone(day): <br /> Mailing Address: _ ZIP: <br /> Email and/or Fax <br /> Overall Project Description: <br /> Check TYPE OF PERMIT FEE <br /> Box collected when permit is issued <br /> Dock,Commercial $50+engineering review costs <br /> Escrow for erosion control and engineering 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(permanent dock requires CUP <br /> Hardcover Permit:Driveway, Patio, Sidewalk,etc.(New or Replacement) No charge <br /> Also requires is a Minor or Major Land Alteration Permit <br /> Land Alteration,Major(grading,filling,or excavating)of more than 500 cubic yards beyond $50 <br /> the lakeshore setback OR more than 50 cubic yards within the lakeshore setback (also <br /> requires Conditional Use Permit) <br /> [Reference: City Code Sections 78-967. 78-1247 and 78-12861 <br /> Escrow for erosion control and engineering review costs As determined by 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: City 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 /> [Reference: City 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 /> separated by twice the height of the lower wall. <br /> Stairway or Lifts to Lake(New or Replacement) [Reference: City Code Sections 7842821 $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: City Code Section 86-661 <br /> Escrow for erosion control and engineering review costs $2,500 <br /> Tree Removal or other vegetation removal within 75 feet of lakes No charge. <br /> Reference: Citv Code Section 78-1285 Pre-inspection required. <br /> Temporary Construction Office/Trailer associated with building permit) $30 <br /> Updated: January 2017 <br />