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• I <br /> � I <br /> . � i City of Orono <br /> ' ; � Zoning Permit A lication <br /> Mailing Address: Permit number: <br /> Ao,�j� PO Box 66 Date received: <br /> �-" ' • � Crystal Bay,MN 55323-0066 <br /> ( Escrow#and <br /> � StreetAddress: amount: <br /> � 2750 Kelley Parkway Permit Fee: <br /> ��C�" Orono,MN 55356 <br /> �l �' Approved by: � <br /> �kESNO� Fax: 952-249-4616 <br /> � Main: 952-249-4600 Notes: <br /> www.ci.orono.mn.us <br /> I <br /> This applii tion form must be compieted in fuil and all required information must be submitted. (P/ease print.} <br /> Job Site Addres's� Z_t 7 0 (�lA'I'i�lGln St� <br /> CONTRACTOR% I PPLICANT INFORMATIOIV: <br /> Name: � .S s (,e,nds e- <br /> Phone: f �_'{b3 �3S Fax' <br /> Address: ' ' o S�' Ci : 4}Ese v ZiP. a-S3ot <br /> Contact Person: ep-✓ ContacYs phone ber I� - ,$ � 7 <br /> Email � ����v.✓�� Sc4p¢,.Lon� Applicant is: Contrac Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: �e�' -.Sa'� <br /> Phone(day): bl2 7fl1 'R�7 Z� <br /> Mailing Address:� 0 nnw� SE. E ZIP. <br /> Email and/or Fa i ,'� vkw�t �n c.o� <br /> Overali Project�qescription: <br /> Check TYPE OF PERMIT FEE <br /> Box collected when ermit is issued <br /> Dock,l�ommerciai $50+engineering review costs <br /> Escro, for erosion control and en Ineerin review costs $2 000 <br /> Dock,G esidential - Permanent dock on any lake or initial seasonal dock not on Lake $50+engineering review costs <br /> Minne,tOnka ermanent dock re uires CUP <br /> Harda�ver Permit: Driveway, Patio,Sidewalk,etc.(New or Replacement) No charge <br /> Also �e uires is a Minor or Ma'or Land Alteration Permit <br /> Land I Iteratfon, Major (grading, filling, or excavating) of more than 500 cubic yards $50 <br /> beyor��the lakeshore setback OR more than 50 cubic yards within the lakeshore setback <br /> (also r quires Conditional Use Permit) <br /> (ReferTce• Citv Code Sections 78-967 78-9247 and 78-12861 <br /> Escro�v for erosion control and engineering review costs As determined b CUP <br /> Land��lteration, Mfnor(grading,filling or excavating)of 51 to 500 cubic yards beyond the $50+engineering review costs <br /> lakes�Qre setback OR 50 cubic yards or less within the lakeshore setback <br /> IReference• Citv Code Sectio�s 78-967 78-1147 and 78-12861 <br /> EscrQyv for erosion control and engineering review costs $2,000 <br /> Retai� ing Walls which exceed two feet in height above existing grade; or resuit in more $50+engineering review costs <br /> than �cubic yards of imported fill; or are located less ihan five feet from the property line. <br /> Escr 'nr for erosion cont�ol and engineering review costs $2,500 <br /> [Refe ence• Citv Code Sectlor+78-1405(5.1)1 <br /> Reta��ing Walls which measure more than four feet(from bottom of footings to top of wall) <br /> requi 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 /> Stai ' ,ay or Liffs to Lake(New or Replacement) lReference• Cifv Code Sectfons 78-12821 $50+engineering review costs <br /> Escro�nr for erosion control and engineering review costs $2,000 <br /> StruF�ure Permit for other structures 200 sf or less not requiring a building permit but $50+engineering review costs <br /> regulated by the zoning code/Reference• Clfv Code Section 86-661 <br /> Escro�ru for erosion controi and en (neerin revlew costs $2 500 <br /> ^�. Tree �emoval or other vegetation removal within 75 feet of lakes No charge. <br /> Reference: Cit C de Sectio 78-1285 Pre-itls @Ction�6 uifed. <br /> Tem 'ora Construction OfficelTrailer associated with buildin ermit $30 <br /> tl <br /> i ) <br /> Updated: �ay 2015 <br /> � <br />