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� � City of Orono <br /> Zoning Permit A lication <br /> �� MaiHng Address: Permit number. Ol J�" ' � <br /> PO Box 66 <br /> � Q Crystal Bay,MN 55323�-0086 Date received: — �'( �J <br /> Escrow#and. � <br /> Sbtaet Addnass: amam� �`f,�� l.(►1(;(�i,✓ �Q.(�Yl� � �' <br /> ,,,, 2T50 FCelley Parkway Permit Fee: <br /> y� a G��C` Orono,MN 55356 `-�(�� <br /> ���SHO'�4' Fax: 952-249-461fi ����' <br /> Main: 952-248-4BOQ �: <br /> 1rYVV1lY.U.OT(Sf1Ct.l7it i,J� <br /> This applicadon form must be completed in tull and all required informatbn must be submitted. (P/ease prfnt) <br /> JOb Site Address: L�-.��� �(�1,�{� I f � �� ,C U� �j ��l r�- 4'�J'�:�� <br /> CONTRACTOR/APPLICANT iNFORMATEQ : <br /> Name: ��^-1 <br /> Phone: � _ � �.. Fax• <br /> Add�ess: Ip'1 � ' C . t...._ ZIP: , <br /> Contact Person: . Cor�tact's pFwne number (1_l_,�.--�-- �4-le•� > <br /> Email 7'�,��N a�,}- ,s` Q��pplicant is: Contra Homeowner (Ctrcle Ono) <br /> PROPERTY OWNER 1 FORIAAT,�IO�: 1 `��� <br /> Name: � ���f a�S��i <br /> Phone{day}: � . � - --' <br /> Mailing Addr�ess: e ' -� ZIP: 5= � <br /> Emaif and/or Fax �.� i ,�:.-�-� . <br /> Overail P%pct Clescription: ao�-. a.L p�..G�n►f�,? .s�-�-,� � 1-'.� � <br /> a � ��� g, �� <br /> Chsck TYpE OF PERMIT �E <br /> Box callected when it is issued <br /> Escrow rfo mernsion contro!and ineeri rev6ew costs a�9�neering review costs <br /> Dodc, Res(derrtial - Pem�anent dock on arry leke or irtitial seasonal dodc not on Lake �50+engineec�ng review casts <br /> Minnetonka ane�t dodc uires CUP <br /> /� Hardcover Psrmit:Driveway� Patio,Sldewalk,etc.(New or Replacement) t�o charye <br /> Also re uires is a Mlnor or Ma or l.and Alteration Permlt <br /> Land Alteration, MaJor (grading, filling, or exc�avating) of more than 500 cubfc yards s50 <br /> \ , beyond the lakeshore setback OR more than 50 cubic ysrds within the lake�ore se�c <br /> �( {also reQuEres Conditional Use PermR} <br /> / � �RNiww�v: c1lr code sscuons 78-D67.ra-12t7,nd 7s.r2861 <br /> Esarow for erosion control and engineering review casCs As determined CUP <br /> L.and�4lbaratlon,Mlnor(grading.fllllrig or ex�cavating}of 51 to 50Q cubic Yards beYond the $50+engineering review oosts <br /> lakeshore setback OR 50 cubic yarris or less within the 1ake�ore setbadc <br /> �Rvl�r�anov: Cllv Code s�cti�ns 78-D67.78-1 Z�T snd 78-12�t <br /> Escrow for erosion cor�trnl and engineering neview costs 32 OUO <br /> Retalning Walls whlch exc�ed two fast in height at�ove ex€sting grade; or resu(t in more �50+engineerfng review c�sts <br /> than 20 cubic yards of knported`fill;or are tocated less than five fee#fibm the property line. <br /> Eacrow for erosion contrd and er►gineering rev�w oo� $2.500 <br /> IRs1b�x:e: C![v Corlo S�ctfon T8-1�/OSIS!ft <br /> Retaining Walls vahich measure mar�e than ivur feet(from bottom of footings to#op of wa11) <br /> require a building perm�. Tiered retaining walis are considered one wail unless the walls <br /> are rated hrvice the h ' ht af the lower wa(l. <br /> Stalrway or Lifts to L.ake(Naw w Replacement) �: Chv Cod�s�cdo„s tea2821 $50+en�neering review costs <br /> Escrcw for erosion cos�tro!and engineering review c�ts $2,ppp <br /> Structure Permlt !or otfier structures 200 sf or less not requiring a buikling permit but $5d+engineering revfew costs <br /> regulated by the mning code�: C1�v Cods Sectton�6-681 <br /> Escrow f�eroaion contr+nl and i review costs S2 500 <br /> Tree Removal or ather vegetatlon removal wnhln 75 feet of lakes No charge. <br /> Pre-ins ar� ulred. <br /> Tem C.on�truc�ion OfRcelTrailer associated wNh build tt $3p <br /> Updated: May 2015 <br />