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/ � <br /> �� � City of Orono <br /> . <br /> Zoning Permit A lication <br /> Mailing Address: Permit number: o26/J�- � Cf� <br /> �Q� PO Box 66 - �D/�C <br /> O Crystal Bay, MN 55323-0066 Date received: <br /> Escrow#and <br /> Street Address: amount: <br /> � 2750 Kelley Parkway <br /> y `� Orono, MN 55356 Permit Fee: <br /> �' G <br /> l9xESH04'� 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. (P/ease print.) <br /> -��- - <br /> Job Site Address: � `/1� y �/�; 7 �/7'ti�'" �� � � �J �!.1�i� L' �� r J � <br /> �-!� i <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: G"iJ_�T���-, c�c,✓i �l'UcT�r�-� S �-�Ui�c- <br /> Phone: � 1•Z 3 c r.� � ��� Fax: <br /> Address: 3 23 � �'/✓�L L�.� - j..�--(j�= Ci •�'2��-s /V',w ZIP• zj <br /> Contact Person: SF-e�,� ►,/ c;� •v�-/2 r^,.t� ContacYs phone number - ��, _���. ,' � <br /> Email 5 y` �v tj-�Zf'N�:�..5�� �.,�,,,�,t�� , Applicant is: Contractor omeowner (Circle One) <br /> G v '"ti <br /> PROPERTY OWNER INFORMATION: <br /> Name: T�J� -� �eK/.7�i_� <br /> Phone(day): �, 1 �z �"�. a �- L/r� <br /> Mailing Address: �' � 2 z/ �-�c� L ��Ili" � s�' L,�;. � <br /> �t/L � �//1� ��v ZIP• � � �/ <br /> Email and/or Fax '-�,.� R�n�; � �� -�F�-Tfs9.�-�s`;,E,�� ��•t-.y ..� � y - <br /> Overall Project Description: "?t� �d ��- � , ,— ;,,.�t � <br /> Check TYpE OF PERMIT FEE <br /> Box collected when 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 ertnanent 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 /> lReference: 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 /> lRefe�ence: Citv Code Sections 78-967. 78-1247 and 78-l2861 <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 /> lReference: Ciri 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: C/tv Code Sections 78-l2821 $50 +engineering review costs <br /> Escrow for erosion control and engineering review cos#s $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[Reference: Citv Code Section 86-661 <br /> Escrow for erosion control and en ineerin review costs $2,500 <br /> Tree Removal or otMer vegetation removal within 75 feet of lakes No charge. <br /> eference: Ci Code Section 78-1285 P�e-inS eCtion re uired. <br /> Tem ora Construction Office/Trailer associated with buildin rmit $30 <br /> Updated: May 2015 <br />