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City of Orono . Zoning Permit Application MailingAddress: Permitnumber: " �a - ��i� �Q�O PO Box 66 Crystal Bay, MN 55323-0066 Date received: �—1 j — �� Escrow#and ;/� \ n Street Address: amount: { � �) � � 2750 Kelley Parkway Permit Fee: - y ; Orono, MN 55356 F L . ��kESHO�� Fax: 952-249-4616 Approved by: Main: 952-249-4600 Notes: www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. (Please print.) Job Site Address: J �s'S GRyzf�� f-�,D , �U�y iA;� ful� S S �J9 ? /APPLICANT INFORMATION: Name: 3�� woL�'� Phone: ( $5r2) q'7�- (� '� � Fax: _ Address: ��,�i 3�SS �ayartlL 3l�v Q.D City: l.U�qy�Ar.' ZIP: S J^3� Contact Person: _'� ,L i.- ContacYs phone number y�s a. '`�� ' 967� Email �,,.,�,�,�w �, Q�„��L, L,,.` Applicantis: Contractor omeo e� (CircleOne) PROPERTY OWNER INFORMATION: Name: SI}m�� }s � �pt��A�„i AoevL Phone(day): Mailing Address: ZIP: Email and/or Fax Overall Project Description: �F�ovE 2, � „n��.�. DL��e.,�`�J o� �aKc: R/a�k �-r�� ,S�+ARE 1 �Zoar� �BoXk 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 fReference: Citv Code Sections 78-967. 78-1247 and 78-12861 Escrow for erosion control and engineering review costs $2,000 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 lReference: Citv Code Section 78-1405(5.1)1 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) fReference: Citv Code Secrions 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 lReference: Citv Code Section 86-661 Escrow for erosion control and en ineerin review costs $2,500 , / Tree Removal or other vegetation removal within 75 feet of lakes No charge. V Reference: Cit Code Section 78-1285 Pre-inspeCtion required. Tem orar Construction Office/Trailer associated with buildin ermit $30 Updated: May 2015