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City of Orono <br /> Zoning Permit Application <br /> Mailing Address: Permit number: 2C15- C U <br /> PO Box 66 <br /> Date received: +-i7j <br /> (, <br /> o Crystal Bay, MN 55323-0066 T*; ►ie dee w s iI h` 112 <br /> 41 j <br /> J Escrow#and <br /> Street Address: amount: <br /> �kESN04� <br /> 2750 Kelley Parkway <br /> �' Orono, MN 55356 <br /> Fax: 952-249-4616 Approved by: <br /> Main: 952-249-4600�4\A Permit Fee: <br /> 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 /> Job Site Address: 2_5S-15 `j C ( . t- lL <br /> CONTRACTOR/APPLICANT INFORMATMN: <br /> Name: ��;\CSP <br /> Phone: • b 2. Fax: <br /> Address: 1%15 V JQa.r- City: a \ ZIP: S35 <br /> Contact Person: tJ (`L-yCQ Contact's phone number q S 2 q 13 5 3 2. <br /> Email ,0CCo\Q_ -5Cx.9`�Af` i� Applicant is: Contractor (Circle One) <br /> za�Y�esv .��'1 <br /> PROPERTY OWNER INFORMATION: <br /> Name: °-/J JQ — <br /> Phone(day): <br /> Mailing Address: ZIP: <br /> Email and/or Fax <br /> Overall Project Description: —Free }-15� <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 $50 <br /> beyond the lakeshore setback OR more than 50 cubic yards within the lakeshore setback <br /> (also 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 <br /> are separated by twice the height of the lower wall. <br /> Stairway or Lifts to Lake(New or Replacement) 'Reference: City Code Sections 78-12821 $50+engineering review costs <br /> Escrow for erosion control and engineering review costs $2 '00 <br /> Structure Permit for other structures 200 sf or less not requiring a building permit but engineering review costs - <br /> regulated by the zoning code/Reference: City Code Section 86-661 S� ��Escrow for erosion control and engineering review costs _ '7C,tvicc,05 <br /> Tree Removal or other vegetation removal within 75 feet of lakes No charge. <br /> 'Reference: City Code Section 78-12851 Pre-inspection required. <br /> Temporary Construction Office/Trailer(associated with building permit) $30 <br /> Updated: May 2015 <br />