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' ' - City of Orono <br /> Zoning Permit A lication <br /> Mailing Address: Permit number: Q - 7 <br /> ��� PO Box 66 <br /> �O Crystal Bay, MN 55323-0066 Date received: Z <br /> Escrow#and <br /> StreetAddress: amount �����1��'f� �JlS"�7 <br /> �. � � 2750 Kelley Parkway p��it Fee: <br /> �.F ; Orono, MN 55356 � � <br /> �' Approved by: <br /> `q Kf S H O�� Fax: 952-249-4616 <br /> Main: 952-249-4600 Notes: <br /> �n�,rrw c�� oror?o r.,�t u� �C � J� <br /> This application form must be completed in full and all required irrformation must be submitted. (Please print.) <br /> Job Site Address: �7�I(..1 N �y�tJw✓1 f'LG� _ (/ ��•''v. �7/� ���� <br /> CONTRACTOR/APPLICANT INFORMATION: �` <br /> Name: �C..+�c�Scci P�s t� H ��-N� ��U <br /> Phone: /Z- Z -- /U Y — Fax: <br /> Address: �Z/ Q:uc, ....c.�_1.�✓� City: �il�'� 7� �cu IP: � �Q �7/ <br /> Contact Person: � /'77, tGz � ' .� ContacYs phone numb <br /> Email sl'1�xe�/ �f Nclscr��f u,•�1,,•.,:-}� Applicant is: ontractor Homeowner (Circle One) <br /> N�✓1.L��..-. <br /> PROPERTY OWNER INFORMATION: <br /> Name: ,. �� Cc� ✓h <br /> Phone(day): - h�,� - � !� '7 u � � , '`'r <br /> Mailing Address: '� ,,,.. v:a/ .,,�r1 ZIP: -�JZz <br /> Email and/or Fax �,���s.-,� y t,.,t y��;r��.y,,p�,�, �S - C v�s <br /> Overall Project Descrip6on: <br /> C�Xk 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 errnanent dodc r uires CUP <br /> Hardcover Permit: Driveway,Patio,Sidewalk,etc.(New or Replacement) No charge <br /> Also r uires is a Minor or Ma'or Land Afteration 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: Citv Code 5ections 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: Cifv Code Sections 78-967.7&1247 and 78-12861 <br /> Escrow for erosion control and engineering review costs $2,ppQ <br /> Retaining Walls which exceed two feet in height above existing grade; or result in more $50+engineering review costs <br /> tha 0 cubic yards of imported fill;or are located less than five feet from the property line. <br /> crow for erosion control and engineering review costs $2,500 <br /> IReference: Citv Code Section 78-140515.1)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 watl unless the walls <br /> se arated b twice the hei ht of the lower wall. <br /> Stairway or Lifts to Lake(New or Replacement) (Reference: Citv Code Secrions 78-12821 $50+engineering review costs <br /> Es ow for erosion control and engineering review costs $2,000 <br /> truc re Permit for other strudures 200 sf or less not requiring a building permit but $50+engineering review costs <br /> re ated by the zoning code IReference: Citv Code Section 86-661 <br /> scrow 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 /> Reierence: Ci Code Section 78-9285 Pre-ins CtiOn�e uired. <br /> Tem ora Co�truction Off+cefTrailer associated with buildin rmit $30 <br /> Updated: May 2015 <br />