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� City of Orono <br /> � _ _ <br /> � Zoning Permit Application <br /> O Mailing Address: Permit number: ��,s �-� ' <br /> � /�TO PO Box 66 <br /> ` �� Crystal Bay, MN 55323-0066 Date received: `l <br /> Escrow#and � (� <br /> Street Address: amount: tt' <br /> 2750 Kelley Parkway � �� <br /> y ; Orono, MN 55356 Permit Fee: <br /> F G � <br /> lqkESHO�� Fax: 952-249-4616 �� ` PProved by: � <br /> Main: 952-249-4600 ��' ` Notes: <br /> �_e <br /> w��,-w.ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: 02�� �e C�e Y�rao c� VJ^r� � CU r� r o , ✓ti'1/U SS��,6 <br /> CONTRACTOR/APPLICANT INFQRMATION: <br /> Name: I I�Zad <br /> Phone: - -/5 Fax: <br /> Address: �(1,U00 Y, Cit : rtv ZIP: 3SC� <br /> Contact Person: ContacYs phone number <br /> Email Q , Q�� rn� �j . Lv vy, Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: So�,n•.a c�.S o�,{�6v� <br /> Phone(day): <br /> Mailing Address: ZIP: <br /> Email and/or Fax <br /> Overall Project Description: <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 requires 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 /> [Reference: City 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 /> (Reference: 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 /> (Reierence: 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) fReference: Citv 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 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: Citv Code Section 78-12851 Pre-inspection required. <br /> Tem orar Construction Office/Trailer(associated with buildin permit $30 <br /> Updated: May 2015 <br />