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City of Orono Zoning Permit Application OMailing Address: Permit number: cO/ e ' d I ziSJl t PO Box 66 Crystal Bay, MN 55323-0066 Date received: Escrow#and Street Address: amount: 2750 Kelley Parkway 1- 1 Orono, MN 55356 Permit Fee. G r I ICES H O0" Fax: 952-249-4616 App oved by: Main: 952-249-4600 Notes: www ci.orono.mn.us This application form must be completed in full and all required information must be submitted. (Please print.) Job Site Address: r 'I c'(, I-` 1 0 iL Gt-; i) ( 1 �l (11\i D CONTRACTOR/APP,I_ICANT INFORMATION: Name: ".)�pri..ii ,,.:.,rko-lb?xyl A% Phone: ir- ("), �,•l et ct t:, 6 b Fax: Address: 45 1 c:X i✓- re r) i,-t.:r-ro City: t_L-, l; Lf1•tc:t ZIP: .�;s 715 Zw Contact Person: 5Cm-iv �, 6-046,71....0 Contact's phone number _(4,1_2____s=5 c� q r)- %,, Email 5e(x.r) , Applicant is: Contractor omeowner (Circle One) PROPERTY OWNER INFORMATION: Name: C ,7+i lA `. Ir Phone (day): Mailing Address: ZIP: Email and/or Fax Overall Project Description: Check FEE BoXTYPE OF PERMIT collected when permit 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 a Minor 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 78-1405(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 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 86-661 Escrow for erosion control and engineering review costs $2,500 Tree Removal or other vegetation removal within 75 feet of lakes No charge. [Reference: City Code Section 78-12851 Pre-inspection required. Temporary Construction Office/Trailer(associated with building permit) $30 Updated: May 2015