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� � City of Orono <br /> \ <br /> � Zoning Permit Application <br /> Mailing Address: Permit number: ;' � � � e= i` �=� <br /> AQ�O PO Box 66 � 7 ___� � <br /> 1 C ry s t a l B a y, M N 5 5 3 2 3-0 0 6 6 Date received: �- �- <br /> Escrow#and <br /> Street Address: amount: <br /> 2750 Kelley Parkway <br /> y ` Orono, MN 55356 Permit Fee: <br /> F �, <br /> F, Approved by: <br /> �KFS�-{O� Fax: 952-249-4616 <br /> Main: 952-249-4600 Notes: <br /> www.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: � � �S Q �� � �� ��� � ��� �� <br /> CONTRACTOR/ PPLIC NT ORMATI N: <br /> Name: 6Z �5 � tS �� 2. � C�cS� � � <br /> Phone: Fax: <br /> Address: �e.. i c Pe Cit : IP: �s l <br /> Contact Person: ContacYs phone number O - 6 /� <br /> Email , Applicant is: Contractor Homeowner Circle One) <br /> h.o�-�ma..F , O m C---___._____--� <br /> PROPERTY OWNER INFORMATION: <br /> Name: �S�m� <br /> Phone(day): <br /> Mailing Address: ZIP: <br /> Email and/or Fax <br /> Overall Project Description: /Y1 �[>�� O �L� ��5 0� (1 (Z� <br /> �BoXk 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 re uires CUP <br /> Hardcover Permit: Driveway, Patio, Sidewalk,etc.(New or Replacement) No charge <br /> Also requires 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 /> lReference: Citv 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 /> lReference: 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) lReference: 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 fReierence: 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: Cit Code Secfion 78-1285 Pre-inSpeCtiOn required. <br /> Temporar Construction Office/Trailer associated with buildin permit $30 <br /> Updated: May 2015 <br /> i <br />