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2 . City of Orono <br /> Zoning Permit Application <br /> Mailing Address: Permit number: Q7,(9/ -7-e-(-2O ,�7� <br /> '( VQ PO Box 66 Date received: 7—A <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: �/ � 0, vd <br /> 2750 Kelley Parkway <br /> 1 Orono, MN 55356 Permit Fee: a76/7 —008S� <br /> G <br /> l4kESHO°' 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 <br /> full and all required information must be submitted. (Please print.) <br /> Job Site Address: 47 Co Wes-1 .YC1t'l-h Zoec t 0 von()n() MJJ 55 3 Cn y <br /> CONTRACTOR/APPLICANT T INFO MAON: <br /> Name: Mt 0446 Co'vw1Zr\ (ZadeWa,ld <br /> Phone: ci52-47.2-531 P. Fax: <br /> Address: I-174,0 vJ• (are e-tv 120 City: CVO v\a ZIP: 5S3 6q. <br /> Contact Person: Co.vwu" IL,cjei..lc..(cl Contact's phone number C.1-1-30‘ —'o R(3 <br /> Email efts G11_vo(Le weackE tAkte.C orv. Applicant is: Contractor(Homeowner )(Circle One) <br /> PROPERTY OWNER INFORMATION: JJ <br /> Name: M0(..t. arm Cavv 2 '\ 1�acieA laL.cl <br /> Phone(day): (0(2— '1'-6-4,/c 7 (m& . ce-ll) (c(02-30 —49 G3 (ca�,—e-. c-0-(() <br /> Mailing Address: y7Lp WCs+ ,r,.i l-. (2ac� t Olrono t MPJ ZIP: SS3G 4 <br /> Email and/or Fax wi 1<-c-1r0dct,.ald@ ('n,btoincfp.ay .Cdrh / CA.row) _ rudcuJa.ld La (44.lie- •Go►'i'1 <br /> Overall Project Description: coat d a.v\ -c tre p ik <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 re CUP) <br /> ` / Hardcover Permit: Drivewa Patio, idewalk,et (Ne�r Replacement) No charge <br /> � <br /> / Also requires is a Minor or Major Land Alteration P€rmit <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 $27000 <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 $2,000 <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: City Code Section 78-1285J Pre-inspection required. <br /> Temporary Construction Office/Trailer(associated with building permit) $30 <br /> Updated: May 2015 <br />