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City of Orono Zoning Permit Application O Mailing Address: Permit number: 0201(o-t�/Oto0 A � PO Box 66 Date received: a 'So /, l_ Crystal Bay, MN 55323-0066 Escrow#and il .- r,�00 — n ct C IC -?J. vL t Street Address: ount: C.V (' 2750 Kelley Orono, MN 5 Permit Fee: 00 QA Cr IL- © � yF! �' 1? Approved by: T '1kFS H O Fax: 952-249-4616 I-, 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: 41t`(.S 1...312, jtu--ted Nt CONTRACTOR/APPLICANT INFORMATION: Name: Q4-.-+✓ —77r .$).c.nsliC.. Phone: cry . 4-71, • art•-9% Fax: Address: At(405-- kj...)Q .a,.c._.ux_.. "lZA City: Orono ZIP: 'S'S-3(o1 Contact Person: -r v-.--,-c— Contact's phone number Email B `.-k--•...-ylcok► „iv, '\ Applicant is: Contractor Homeowne (Circle One) Goe4.. PROPERTY OWNER INFORMATION: Name: ��c` —C., Phone(day): QS'z. •-rt y. cD tM. Mailing Address: •{tato r ,.,,QS-(• '�irc,,, � 'iesck pw•. ) ZIP:ZIP: 'SS-Sc ( Email and/or Fax et-cc. jlj® v.,r.o..\ . €_,.„.„ Overall Project Description: ;,�z, � , ,a„ok , C,..<-} C_..1r�,..„Xe\—e c- ,S: 6,Nt2_...:x`-..A Check TYPE OF PERMIT FEE Box 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` I. -ngineering 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