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y City of Orono <br /> Zoning Permit Application •//� <br /> OMailing Address: Permit number: lr O/(o O/3 ��- <br /> i VO PO Box 66 /� <br /> Crystal Bay, MN 55323-0066 Date received: / Q /, W/� <br /> Escrow#and <br /> Street Address: amount: <br /> 2750 Kelley Parkway permit Fee: <br /> y Orono, MN 55356 <br /> 'OIL <br /> G <br /> q Approved by: <br /> kESHO4 Fax: 952-249-4616 <br /> Main: 952-249-4600 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: 332- W CS LG, Ye CA"- <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: <br /> Phone: Fax: <br /> Address: City: ZIP: <br /> Contact Person: Contact's phone number <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER(WORM TION: II ``^^ <br /> Name: Jf'Y11(1i 1 (i'iC.Lvi. (_k <br /> Phone(day): "1IS-4c -73'7 g <br /> Mailing Address: 2,3 Z W e t- Lu.- .e. ZIP: Sz <br /> Q._1' �5 352v <br /> Email and/or Fax <br /> .\est n; re. �ir�1r�-�v�cl/ESSoca�s� i„l�• C o� <br /> Overall Project Descriptio?Y <br /> Check TYPE OF PERMIT FEE <br /> Box col, J when permit is issued <br /> Dock, Commercial $50+ _ 'ineering 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(5.111 <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 78-12851 Pre-inspection required. <br /> Temporary Construction Office/Trailer(associated with building permit) $30 <br /> Updated: May 2015 <br />