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, � City of Orono <br /> � Zoning Permit A lication <br /> O Mailing Address: Permit number. ���" � (�L� Z <br /> � f�O PO Box 66 Date received: 11 L T I�C — � � <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and �1��� <br /> Street Address: amount: /`T <br /> � � 2750 Kelley Parkway <br /> y ; Orono, MN 55356 Permit Fee: <br /> F L <br /> l�KESHO�� Fax: 952-249-4616 Approvedby: <br /> Main: 952-249-4600 Notes: <br /> www.ci.orono.mn.us <br /> This application form must be completed in II d all required information must be submitted. (Please print.) <br /> Job Site Address: y + k l � l <br /> CONTRACTOR/APPLICANT INFORMATIO <br /> Name: C�r'1�T1-i�—I►�C. �- �i�%E:�$1 , <br /> Phone: (.% ` — ` � — c- Fax: <br /> Address: �(� �, 1-L1'L. � City: (j��Nb ZIP: �?��� <br /> Contact Person: ContacYs phone number <br /> Email �'�lt;e�'-�-.`-�-�sl YWi c �L�� Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER I FORMATION: <br /> Name: ��'�-'��'�-C�A� <br /> Phone (day): � � I — -- <br /> Mailing Address: � �f' � A p�.j ' ZIP: y - �' <br /> Email and/or Fax • � ��,i a , � <br /> OverallProjectDescription: ���1�t�y'L `� �j2G�L�'j , ,� �L= �TU �p���rj .�' �ii'1���4�(J �`j}� <br /> CBoxk TYPE OF PERMIT co/lected 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 /> fReference: 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 /> lReference: 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 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 /> IReference: 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 Secrions 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: Cirv 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 />