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f i <br /> � . � City of Orono <br /> � Zoning Permit A lication <br /> Mailing Address: Permit number: �d L 5 —�� 7� <br /> , �N PO Box 66 Date received: =��� <br /> O Crystal Bay, MN 55323-0066 <br /> � Escrow#and <br /> Street Address: amount: <br /> �, � � 2750 Kelley Parkway permit Fee: <br /> y � Orono, MN 55356 <br /> �� ��' Approved by: � <br /> �k E S H O� Fax: 952-249-4616 <br /> Main: 952-249-4600 Notes: <br /> �vww.ci.orono.mn.us <br /> This application form must be completed in fufl and all required information must be submitt leas <br /> � �� � ' ` � _ �,_ _ C�� }�/Y �• <br /> Job Site Address: 7 � - __ <br /> CONTRACTOR 1 APPLIC FORMATION:, '' � ' �" - ___ <br /> _ - � <br /> Name: tf�rG�I� � C!',��� <br /> Phone: �' Fax: <br /> Address: - �� Cit : ZIP: .5 <br /> Contact Person: Contact ber <br /> Email � ; . L �✓ Applicant is: ontractor omeowner (Circle One) � <br /> _ �� �,, <br /> PROPERTY OWNER IN N: <br /> Name: <br /> Phone(day): Z�P. <br /> Mailing Address: <br /> Email and/or Fax <br /> ,;,�,� � � ��., <br /> Overall Project Description: ��'�� 5 r" �:� �1 � ( � -� � " l �'r <br /> Check TYpE OF PERMIT FEE <br /> Box collected when 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 Pertnit <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 /> lReference• C/tv Code Sectlons 78-967 78-1247 and 78-12861 <br /> Escrow for erosion control and engineering review costs As determined b CUP <br /> Land Alteration, Mlnor(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• Cfhr Code Sectlons 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►ocated less than five feet from the property line. <br /> Escrow for erosion control and engineering review costs $2,500 <br /> lReference: C/ri Code SecUon 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) fReterence: Cltv Code SecNons 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 Secdon 86-661 <br /> Escrow for erosion control and en ineerin review costs $2,500 <br /> � Tree Removat or other vegetation removal within 75 feet of lakes No charge. <br /> Re r n : i o ec ion�8-1285 Pre-ins ection re uired. <br /> Tem ora Construction Office/Trailer associated with buildin rmit $30 <br /> Updated: May 2015 <br />