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, � , ,t City of Orono
<br /> Zoning Permit A lication
<br /> Mailing Address: Permit number: � '�d���
<br /> �Q�O PO Box 66 Date received: ��� -�
<br /> Crystal Bay, MN 55323-0066
<br /> Escrow#and
<br /> Street Address: amount:
<br /> � 2750 Kelley Parkway
<br /> y � Orono, MN 55356 Permit Fee: �
<br /> F
<br /> �,y �,G Approved by:
<br /> kE S H�� 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. (P/ease print.)
<br /> Job Site Address: ��'��� C��e�sr�, P�o.�c OCoro , MN 5536y
<br /> CONTRACTOR/APPLICANT INFORMATION:
<br /> Name: S���e.�,,�oal ,L�c
<br /> Phone: s,� ��Z-�6�-�oUo Fax:
<br /> Address: i53 �as+ �.o.kc St City: W�z�a ZIP: Ss39�
<br /> Contact Person: q��,x �q�,p ContacYs phone number (,�2- 9�s-3 gco
<br /> Email ,���k�St�r�.wood•c.o�., Applicant is: �� Homeowner (Circle One)
<br /> PROPERTY OWNER INFORMATION:
<br /> Name: ���,���.. ac ec o.. ceSn t e�Sor
<br /> Phone (day): 9�Z_�,�g_ ti 53
<br /> Mailing Address: �tiiu G4�ecrv, Pl�,�c, Z�P: SS3 6'�
<br /> Email and/or Fax
<br /> Overall Project Description: (Z,.w,n�� Iwa ��x,es d�Co�sl� c,1os� �o �x�..,�,1•„� ,.,,.,�, r�sk „F 4..u•
<br /> CBoXk TYPE OF PERMIT collected whenE ermit is issued
<br /> Dock, Commercial $50+engineering review costs
<br /> Escrow for erosion control and en ineerin 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 ermanent dock re uires CUP
<br /> Hardcover Permit: Driveway, Patio,Sidewalk,etc. (New or Replacement) No charge
<br /> Also re uires is a Minor or Ma'or 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 /> fReference: Citv Code Sections 78-967. 78-1247 and 78-12861
<br /> Escrow for erosion control and engineering review costs As determined b 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 /> lReference: Citv 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 /> lReference: Citv 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
<br /> are se arated b twice the hei ht of the lower wall.
<br /> Stairway or Lifts to Lake(New or Replacement) lReference: Citv Code Sections 78-�2821 $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 lReference: Citv Code Section 86-661
<br /> Escrow for erosion control and en ineerin review costs $2,500
<br /> Tree Removal or other vegetation removal within 75 feet of lakes No charge.
<br /> Reference: Cit Code Section 78-1285 Pre-ins ction re uired.
<br /> Tem orar Construction Office/Trailer associated with buildin ermit $30
<br /> Updated: May 2015
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