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City of Orono <br /> alea ,--kri • ZoningPermit Application <br /> 1 �;i, 64 of pp <br /> 0 atlin Address: Permit number: <br /> PO Box 66 <br /> �� /6 *,\114Crystal Bay, MN 55323 0066Date received: at> 10 17Escrow#and rStreet Address: amount: /42,,�2750 Kelley Parkway ,y1 Orono, MN 55356 Permit Fee: �L RECEIVED <br /> Gj (�k�sHO�'� Fax: 952-249-4616 Approved by: it/11"--' <br /> f/ q <br /> Main: 952-249-4600 Notes: JUN 1 q 9 2011 <br /> www.ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. (effPfer.PriNkONO <br /> Job Site Address: &,S lel R.1 O.,4bv tukadZ 44,u . i-teK>km') <br /> CONTRACTOR/A PLICANT INFORMATION: <br /> Name: Cf.uiCk kA(lilt. <br /> Phone: (p a �0� Fax: <br /> Address: .,. 4,S- C mok.Jo 1-AVLAM �(�- ���City: ZIP: S'S 3 01Contact Person: 1TA,t) (: AMA i$u&t S Contact's phone number _ <br /> Email la•AjfApj%IA4 S gf',LB f0S T,a1i .pplicant is: Contractor • eowner (Circle One) <br /> \ <br /> PROPERTY OWNER INFORMATION: <br /> Name: <br /> Phone(day): <br /> Mailing Address: ZIP: <br /> Email and/or Fax <br /> Overall Project Description: <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 beyond $50 <br /> the lakeshore setback OR more than 50 cubic yards within the lakeshore setback (also <br /> 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 are <br /> 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: January 2017 <br />