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, <br /> City of Orono t-������ ��i��-zi� � <br /> ' � Zoning Permit Application <br /> Mailing Address: Permit number: ,yL ! .-- —�%� Cf � <br /> ���0 PO Box 66 <br /> 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: C- � , (^�� <br /> G <br /> tqkESl-IO�� Fax: 952-249-4616 Approved by: �';���,-���- <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 /> � -� •� A <br /> Job Site Address: ��� ��� ����.����� ��;,�;� <br /> CONTRACTOR/APPL�I�CANT INFORMATION: <br /> Name: ��C. �U�_ � - ,�, - <br /> Phone: � � �- -- � Fax: <br /> Address: �" � �, � Cit : ' � � ZIP: � "'; � <br /> Contact Person: h l� ContacYs phon - �. — �j <br /> Email i � �{j�,,� �r ���, �,;�� Applicant is: ntracto Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: Mr�,��_���;h�r <br /> Phone (day): <br /> Mailing Address: �5 �� f, ZIP: � � � <br /> Email and/or Fax ' <br /> Overall Project Description: X-� fC'1��� � <br /> Check TYPE OF PERMIT FEE <br /> Box co/lected 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 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 /> 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 /> (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 /> Stairway or Lifts to Lake(New or Replacement) LReference: 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 CReference: 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 /> Reference: Cit Code Section 78-1285 Pre-inspection required. <br /> Tempora Construction Office/Trailer(associated with buildin permit $30 <br /> Updated: May 2015 <br />