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City of Orono Zoning Permit Application Mailing Address: Permit number: gQ�O PO Box 66 Crystal Bay, MN 55323-0066 Date received: Escrow#and Street Address: amount: 2750 Kelley Parkway permit Fee: y Orono, MN 55356 lgxESHOX, Fax: 952-249-4616 Approved by: Main: 952-249-4600 Notes: www.ci.orono.mn.us This application form must be completed In, 'ri `all required information must be submitted. (Please prtnt.) Job Site Address: I Z 2O 'To a"L)C- (� CONTRACTOR 1 APPLICANT INFORMATION: Name: Phone: (2.-Q4 7 C,t3 ca n Fax: ,(Z Address: _U600 l7i-0� rite r i t,0_ City: &31 rl iy� ZIP: 5--L-340 Contact Person: k9jiv �AaoS Contact's phone number 42 L2- 596, 0_3 LE) Email k-e . &Q"n s L�et�rte�ir_u�Applicant is: r ontracto_) Homeowner (Circle One) PROPERTY OWNER INFORMATION: Name: M';c,k0,CI a.vAd I�OV1ti�a E(ne v r__. Phone (day): Mailing Address: i2-20 Torn kc-wc- P-o , _Orann. mo ZIP: 55-3c;(, Email and/or Fax &ny1(k ehQAr +t-ram !1M it,c.om Overall Project Description: ` o ChecBox TYPE OF PERMIT E collected whenpermit is issued Dock,Commercial $50+engineering review costs Escrow for erosion control and engineering review costs $2,000 Dock, Residential - Permanent dock on any lake or initial seasonal dock not on Lake $50+engineering review costs Minnetonka(permanent dock requires CUP Hardcover Permit: Driveway, Patio,Sidewalk,etc.(New or Replacement) No charge Also requires Is aMinor or Major Land Alteration Permit Land Alteration, Major (grading, filling, or excavating) of more than 500 cubic yards $50 beyond the lakeshore setback OR more than 50 cubic yards within the lakeshore setback (also requires Conditional Use Permit) !Reference: City Code Sections 78-967. 78-1247 and 78-12861 Escrow for erosion control and engineering review costs As determined by 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: City 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 !Reference: City Code Section 78-140515.111 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 separated by twice the height of the lower wall. Stairway or Lifts to Lake(New or Replacement) (Reference: City 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!Reference: City Code Section 86.861 Escrow for erosion control and engineering review costs $2,500 / Tree Removal or other vegetation removal within 75 feet of lakes No charge. R race: City Cog2 Jection 78-12851 Pre-inspection required. Temporary Construction Office/Trailer associated with building permit) $30 Updated: May 2015