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City of Orono l <br /> Zoning Permit Application do Mailing Address: Permit number: C 1 U <br /> / ` o g” <br /> gDiv PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: 7- . 7-1,k3. <br /> Escrow#and p <br /> Street Address: amount: t7�U�� -��! <br /> ' i 2750 Kelley Parkway y ,,,, �/ � ,( <br /> .ti <br /> Orono, MN 55356 Permit Fee: So, 000.Ott eX,r6W J e(�(,�Yto <br /> **PC <br /> -- Fax 952-249-4616 Approved bar <br /> Main: 952-249-4600 Notes: <br /> www.ci.orono.mn.us <br /> This application form must be completed in full and 2, -. it-:. information must be submitted. (Please print.) <br /> Job Site Address: 2O VO 0 D o{14' (' i — • j Oj 2 i3 V 31 f <br /> CONTRACTOR/APPLICANT INFORMATION! 1r7ry� <br /> Name: .' , / A e'5 ` J' 4revi1 I1 . <br /> Phone: ' 2 - ' IS ` Z�2.�2-^^ Fax: C z i---is <br /> - - (g (C'7 <br /> Address: .. ' a.t �t v`t 12,1 Cit : a f „G r' ZIP: -.- <br /> Contact Person: MaLi Contact's phone number {2 ^ Z' 2_ <br /> Email 0 Q G1 //rte. Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INIFORMATIO : ri <br /> Name: l 2(`✓1bl Gt.14[ t4CC.I <br /> Phone(day): 2. -- '0 ' - 0# Zap <br /> Mailing Address: L o' i . t ' 6 in • Y(lnp 1�.) ZIP: —jam j <br /> Email and/or Fax i " td (4,C.( I i N1 r`�i.. <br /> Overall Project Description: pt, ett j ,r r t/"4 t U1 mi <br /> Check TYPE OF PERMIT FEE <br /> 1 Box collected when permit is issued <br /> Dock,Commercial $50+engineering review costs <br /> Escrow for erosion control and engineerinc review costs $2,000 <br /> Dock, Residential - Permanent dock on any lake or initial seasonal dock not on Lake $5C+engineering review costs , <br /> Minnetonka(permanent dock requires CUP) I <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 78-92861 <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 cc;ts <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 boozy ed less than five feet from the property line. <br /> ?, <br /> Esc-ow for erosion control and engineering review costs $2,500 <br /> (Reference: City Code Section 78.9405(5.111 <br /> Retaining Walls which measure more than four feet(f om bottom of footings to top of wall) <br /> require a building permit Tiered retaining walls a z 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) f?eference: City Code Sections 78-12821 $50+engineerinr review costs <br /> Escrow for erosion control ano engineering inview 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 Secti.in 86-661 <br /> Escrow for erosion control and engineering revieN costs $2,500 <br /> Tree Removal or other vegetation removal within 75 feet of lakes No charge. <br /> Ref rence: City Code Section 78-1 , Pre-inspection required. __ <br /> I Temporary Construction Office/Trailer(associated with building permit) $30 `-1 <br />