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� � City of Orono <br /> Zoning Permit Application <br /> O Mailing Address: Permit number: �b I �p—Q���J <br /> � �O PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: � —�S —/ <br /> Escrow#and N I� <br /> Street Address: amount: � <br /> 2750 Kelley Parkway ��� <br /> y ` Orono, MN 55356 Permit Fee: <br /> � <br /> !q �,�' � I I� Approved by: <br /> kEs H 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: 790 N Brown Road, Orono, MN 55356 <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: Thomas Hogan <br /> Phone: 612-220-7498 Fax: <br /> Address: 7A0 N Brown Road City: rono ZIP: <br /> Contact Person: ��ma�Hr,�n Contact's phone number <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: Thomas Hogan <br /> Phone (day): 612-220-7498 <br /> Mailing Address: 790 N Brown Road, OronQ., MN ZIP: 55 <br /> Email and/or Fax tom hoganna�perficient com <br /> Overall Project Description: Seasonal Dock <br /> CBoXk 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 /> J 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 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 /> IReference: 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 /> fReference: 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 finro 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 /> (Reference: 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�8-12821 $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 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: Ci Code Section 78-1285 Pre-inspection required. <br /> Tempora Construction Office/Trailer(associated with buildin permit $30 <br /> Updated: May 2015 <br />