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City of Orono <br /> � � � Zoning Permit Application <br /> Mailing Address: Permit number. "� �—��,5� <br /> �Q�O PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: � � y' � � <br /> Escrow#and � � <br /> Sfreef Address: amount: <br /> � � 2750 Kelley Parkway �O� <br /> �� � Orono, MN 55356 Permit Fee: <br /> G <br /> `�kFSHO�� Fax: 952-249-4616 Approved by: <br /> Main: 952-249-4600 Notes: ,�� <br /> v✓wv��.ci.orona.mn.us <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: �(p5 �� �'!'� � � �Cj• �("T" 2?j� 2•�j — Q0 �(� <br /> CONTRACTOR/APPLICANT INFORMATIO : <br /> Name: �/k-� IJ �( /�,� <br /> Phone: Fax: <br /> Address: City: ZIP� <br /> Contact Person: ContacYs phone number <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: �'��rN �.I A'�lJ <br /> Name: �D �� L� <br /> Phone(day): — <br /> Mailing Address: ' �"' �p: st <br /> Email and/or Fax p . � <br /> Overall Project Description: �(�'��5� , 'r�� (/(/t+('�ti(� �'j�} [,�f��T � L��j�.. <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 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 /> (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 /> CReference: 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(Reference: 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 /> Tem ora Construction OfficelTrailer associated with buildin permit $30 <br /> Updated: May 2015 <br />