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City of Orono � ����� <br /> �h� <br /> Zoning Permit Application <br /> Mailing Address: Permit number. �(p - (J�J(O c� <br /> �Q�O PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: <br /> Escrow#and `V�N� <br /> StreetAddress: amount: � ��.�-t'� L'�- <br /> � 2750 Kelley Parkway Permit Fee: <br /> y � Orono, MN 55356 t' <br /> �' G <br /> l�kFs�..�0��' Fax: 952-249-4616 Approved by: <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: Z�� l.Q�� ��n f" �Q� <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: 3i 1'Y� — �,�l,Q/�(,J ��(1�Q(D�� <br /> Phone: Fax: <br /> Address: V�,, Cit : ZIP: <br /> Contact Person: '� (,j����(� ContacYs phone number - - <br /> v <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORM;4�ION: <br /> Name: �-e I'1" � Pia SC,V�u+f- <br /> Phone(day): <br /> Mailing Address: �Q 7yy����_�,�.' rhpnhQx,Q,., ZIP: <br /> Email and/or Fax `� � <br /> Overall Project Description: � �Ci <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 /> 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 /> (Reference: 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 /> X lReference: Citv Code Sections 78-967. 78-1247 and 78-12861 <br /> � Escrow for erosion control and engineering review costs $2,000 <br /> Retaining Walts 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) fReference: 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 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: Cit Code Section 78-1285 Pre-ins ection required. <br /> Tem ora Construction Office/Trailer associated with buildin ermit $30 <br /> Updated: May 2015 <br />