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� � ` City of Orono r � Zoning Permit A lication Mailing Address: Permit number: AQ�O PO Box 66 � Crystal Bay, MN 55323-0066 Date received: Escrow#and Street Address: amount: � � 2750 Kelley Parkway y ; Orono, MN 55356 Permit Fee: F � �,�' Approved by: �k�sHOR Fax: 952-249-4616 Main: 952-249-4600 Notes: � � www.ci.orono.mn.us This application form must be completed in full and all required information must be subm :ed. (Please print.) Job Site Address: ��37C7�ilEZ,��' 1'Lf�CG � �/,%��J,�J p , ,(i(i,1 S 53�� _ CONTRACTOR/APPLICANT INFORMATION: Name: Phone: Fax: Address: City: ZIP: Contact Person: ContacYs phone number Email Applicant is: Contractor Homeowner (Circle One) PROPERTY OWNER INFORMATION: Name: ��Zlk /�i.�t�5r/��,) Phone (day): 95',Z - �OS- S/ 8 2, Mailing Address: i 37n CNER�ZY r�i , 1�d�U,�1; �Ll.ti� .5.5�� ZIP: Email and/or Fax �,(`,'{c.naFs��d e m�-s. ev� Overall Project Description: CBoXk TYPE OF PERMIT collected whenE ermit is issued Dock, Commercial $50+engineering review costs Escrow for erosion control and en ineerin review costs $2,000 Dock, Residential - Permanent dock on any lake or initial seasonal dock not on Lake $50+engineering review costs Minnetonka ermanent dock re uires CUP Hardcover Permit: Driveway, Patio, Sidewalk,etc. (New or Replacement) No charge Also re uires is a Minor or Ma'or Land Alteration Permit Land Alteration, Major (grading, filling, or excavating) of more than 500 cubic yards $50 beyond the lakeshore setback OR more than 50 cubic yards within the lakeshore setback (also requires Conditional Use Permit) (Reference: Citv Code Sections 78-967. 78-1247 and 78-12861 Escrow for erosion control and engineering review costs As determined b CUP Land Alteration, Minor(grading, filling or excavating)of 51 to 500 cubic yards beyond the $50+engineering review costs lakeshore setback OR 50 cubic yards or less within the lakeshore setback (Reference: Citv Code Sections 78-967. 78-1247 and 78-12861 Escrow for erosion control and engineering review costs $2,00� Retaining Walls which exceed two feet in height above existing grade; or result in more $50+engineering review costs than 20 cubic yards of imported fill; or are located less than five feet from the property line. Escrow for erosion control and engineering review costs $2,500 fReference: Citv Code Section 78-1405(5.111 Retaining Walls which measure more than four feet(from bottom of footings to top of wall) require a building permit. Tiered retaining walls are considered one wall unless the walls are se arated b twice the hei ht of the lower wall. Stairway or Lifts to Lake(New or Replacement) lReference: Citv Code Sections 78-12821 $50+engineering review costs Escrow for erosion control and engineering review costs $2,000 Structure Permit for other structures 200 sf or less not requiring a building permit but $50+engineering review costs regulated by the zoning code(Reference: Citv Code Section 86-661 Escrow for erosion control and en ineerin review costs $2,500 Tree Removal or other vegetation remo al within 75 fee of lakes No charge. Reference: Cit Code Section 78-1285 Pre-ins ection re uired. Tem ora Construction Office/Trailer associ ed with buildin ermit $30 Updated: May 2015