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City of Ot�ono <br /> - Zoning Permit Application <br /> �'.c�11�- ��.,C,�,�. � <br /> Mailing Address: Permit number: � <br /> �O •O CrysBtal ay, MN 55323-0066 Date received: t ' ��- ��' -r - l�Z.; � � ('/�' <br /> Escrow#and � <br /> Sfreet Address: amount: <br /> � 2750 Kelley Parkway A) . <br /> y � Orono, MN 55356 Permit Fee: �V <br /> G <br /> ���k�s}{O�� 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 prinf.) ' <br /> Job Site Address: �{tc Sl� Crt��i„�doo� �a�f ' <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: lVl�nnrkak�('.y. (.JC L3a'�-�.rt{tG� btt-fn�}' <br /> Phone: qTZ-�o�1f �(/�'r� Fax: qsy- yl� �Obb2 <br /> Address: I53z� M�y,r�h�.�kA f;l�,( City: /t�;nni��c� ZIP: 533yS <br /> Contact Person: ���Q,,,, SGr„�pr�s ContacYs phone number 4s�--uyr-�r�� <br /> Email �-<<��`r �_�..,,�,�,,knkA cr�ck. Applicant is: Contractor Homeowner (Circle One) <br /> -. °`9 <br /> PROPERTY OWNER INFORMATION: <br /> Name: �,,,y, �- Lo�," (3;o�K <br /> Phone(day): ySZ- y��- Z23/� <br /> Mailing Address: yG$'u Gv�ccrwi,.� (,��;�r ��„1� ,Mr� �i^ ZIP: �,359 <br /> Email and/or Fax K b i o�K 2�1�D� aoJ r�..-, <br /> Overall Project Description: � t vcr�- I'e 1a �rra.� d r ��r✓e. < <br /> BaXk TYPE OF PERMIT cotlected 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+engineenng 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 mnre than 50 cubic yards within the lakeshore setback ', <br /> (also requires Conditional Use Permit) <br /> /Reference: Citv Code Sections 78-967,78-?247 and 78-12861 <br /> Escrow for erosion control and engineering review costs As determined b CUP ' <br /> Land Alteration,Minor(grading,fllling 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 /> lReference: Cltv Code Sect/ons 78-967.78-1247 and 78-72861 <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 focated less than five feet from the property line. <br /> Escrow for erosion control and engineering review costs $2,500 <br /> fReferencec Citv Code Sectlon 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 engineering review costs $2,500 <br /> Tree Removal or other vegetation removal within 75 feet of lakes • No charge. <br /> Reference: Cit Code Section 78-a285 Pre-inspection required. <br /> Tem ora Construction O�ce/Trailer(associated with buildin ermit $30 <br /> Updated: May 2015 ' <br /> a <br /> i <br />