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- City of Orono <br /> Zoning Permit Application <br /> O Mailing Address: Permit number: a0(. I�1 <br /> PO Box 66 Date received: /a - ` j <br /> *114 Crystal Bay, MN 55323-0066 <br /> Escrow#andStreet Address: amount: fi <br /> 2750 Kelley Parkway <br /> Orono, MN 55356 ��'� PermitFee: $ _A roved by: A�AM �iil�� 1 / tj'�jbI- C4 \, <br /> 'CESHOO' Fax: 952-249-461 pp 1„ `�N��� I ryM <br /> Main: 952-249-4600 �((Q� Notes: <br /> www.ci.orono.mn.us I, v <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: 0 Fi L'1/4-3 o c0, 1 ( (u c�L 1 Q A o <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: 1� `41 !- 12 - C,4--S N .1-.3 ILO A 4Z. 4-0A :�a <br /> Phone: ( - `10 /L' Fax: <br /> Address: Z v L Lti F,v-2 QL.1(( 2 City: U��A 7 z� t ZIP: S-J'.3 c <br /> Contact Person: _, �., kLt,c, Contact's phone number <br /> Email j�_T',z�_ ���L 3,� ,G� . , Applicant is: Contractor own) (Circle One) <br /> PROPERTY OWNER INFORMATION: ii 1-\ <br /> Name: <br /> C <br /> Phone(day): E; / - (j j' I 0 <br /> Mailing Address: E; U u Q L.: l( 2 ► 1.� 'c . z��� OA. ZIP: ,5-5-3 Q ( <br /> Email and/or Fax f2 � �,1��1t;.> � 4:1AL Cv , <br /> Overall Project Description: r (�c! �; 1 a. j��` �e 7 �� -- s ;Ff ,i; ,Chec , 4I LL` <br /> Box FEE <br /> k TYPE OF PERMIT 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 /> Lference: 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 />