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� � t City of Orono . t Zoning Permit Application Mailing Address: Permit number: �C� f (�.� � OC%(t- C '� �Q�O PO Box 66 Crystal Bay, MN 55323-0066 Date received: �`� �- �i — !(�- Escrow#and �---- Street Address: amount: � � 2750 Kelley Parkway ,_._i y ; Orono, MN 55356 Permit Fee: ��I � G - ``�kFs}{OR� Fax: 952-249-4616 Approved by: �2 `� L � Main: 952-249-4600 Notes: . www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. (Please print.) Job Site Address: j 3 �� C /'�-i S�� 1�/s `� � �� - CONTRACTOR/APPLICANT INFORMATION: Name: Phone: Fax: Address: City: ZIP: Contact Person: ContacYs phone number Email Applicant is: Contractor Homeowner (Circle One) PROPERTY OWNER INF RMATION: Name: J��,vi, �. � �H�� N Phone (day): 61 , Q� i 0� 7 Mailing Address: 3 33 � C Y S"�/��-- 13 � 2 �� - ZIP: � �� 1 Email and/or Fax _ � � , rn n� � M � 5 .c�M Overall Project Description: j'a � �G�ti/ h ��N P ('e � d � E' Check TYPE OF PERMIT FEE Box collected when ermit is issued Dock, Commercial $50 +engineering review costs Escrow for erosion control and en ineerin review costs $2,000 Dock, Residential — Permanent dock on any lake or initial seasonal dock not on Lake $50+engineering review costs Minnetonka ermanent dock re uires CUP Hardcover Permit: Driveway, Patio, Sidewalk,etc. (New or Replacement) No charge Also re uires is a Minor or Ma'or Land Alteration Permit Land Alteration, Major (grading, filling, or excavating) of more than 500 cubic yards $50 beyond the lakeshore setback OR more than 50 cubic yards within the lakeshore setback (also requires Conditional Use Permit) (Reference: �itv Code Sections 78-967. 78-1247 and 78-12861 Escrow for erosion control and engineering review costs As determined b CUP Land Alteration, Minor(grading, filling or excavating)of 51 to 500 cubic yards beyond the $50 +engineering review costs lakeshore setback OR 50 cubic yards or less within the lakeshore setback (Reference: Citv Code Sections 78-967. 78-1247 and 78-12861 Escrow for erosion control and engineering review costs $2,000 Retaining Walls which exceed two feet in height above existing grade; or result in more $50+engineering review costs than 20 cubic yards of imported fill; or are located less than five feet from the property line. Escrow for erosion control and engineering review costs $2,500 fReference: Citv Code Section 78-1405(5.1)1 Retaining Walls which measure more than four feet(from bottom of footings to top of wall) require a building permit. Tiered retaining walls are considered one wall unless the walls are se arated b twice the hei ht of the lower wall. Stairway or Lifts to Lake(New or Replacement) lReference: Citv Code Sections 78-12821 $50 +engineering review costs Escrow for erosion control and engineering review costs $2,000 Structure Permit for other structures 200 sf or less not requiring a building permit but $50 +engineering review costs regulated by the zoning code�Reference: Citv Code Section 86-661 Escrow for erosion control and en ineerin review costs $2,500 Tree Removal or other vegetation removal within 75 feet of lakes No charge. Reference: Cit Code Section 78-1285 Pre-inspection required. Tem orar Construction Office/Trailer associated with buildin ermit $30 Updated: May 2015