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, . City of Orono <br /> � � � . Zoning Permit Application <br /> O Mailing Address: Permit number: � ���'% — �� 1} J <br /> � �O PO Box 66 Date received: / � �l��� <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and �� �'+� �Z�' ic 1� (�� <br /> Street Address: amount: � (�(��_ G-����G����'�� T' <br /> 2750 Kelley Parkw <br /> y ` Orono, MN 55356 ,'� Permit Fee: U � <br /> F <br /> ! �F,�' � Approved by: <br /> �kEs�iO Fax: 952-249-461 ���� <br /> Main: 952-249-4600 Notes: <br /> v✓ww.ci.orono.mn us <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> � t�� <br /> Job Site Address: �d�5 �a,/VYY1 � <br /> CONTRACTOR/APP CANT INFORMATION: � I , ` <br /> N a m e: �rM e�vr�d �ry{� t��i ci �m�1 c� L 5 ca.P�� �- �c_1� <br /> Phone: ' '' Fax: <br /> Address: Cit : ZIP: <br /> Contact Person: ContacYs phone number �'l_S-� �{"7z1. -`�il � <br /> Email '� 3 p�� a Applicant is: Contrac or Homeowner (Circle One) <br /> cJc?"YY� <br /> PROPERTY OWNER—INt—FORMATION: y�I <br /> Name: �) c�'ru,,.. ����j�e.� <br /> Phone (day): �O � <br /> Mailing Address: �,��,y5 �( ZIP: $�3�I � <br /> Email and/or Fax <br /> Overall Project Description: ,� Q <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 requires 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 /> (Reference: 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 /> (Reference: 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 /> X Stairway or Lifts to Lake(New or Replacement) lReference: Citv Code Sections 78-1282) $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 /> lReference: Citv Code Section 78-12851 Pre-inspeCtion required. <br /> Tempora Construction Office/Trailer associated with buildin permit $30 <br /> Updated: May 2015 <br />