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S '� City of Orono � Zoning Permit Application Mailing Address: Permit number: �f�/ � d� �Q�O PO Box 66 Date received: /�"'.5 (O Crystal Bay, MN 55323-0066 Escrow#and ,f Street Address: amount: O�.'�0� � � �� 2750 Kelley Parkway � � Orono, MN 55356 Permit Fee: �'-, ��,, �`�kE S H OR�G Fax: 952-249-4616 Approved by: '�� Main: 952-249-4600 Notes: www.ci.arono.mn us 1 - - �_ ;),-� rc �G' "7 - / �_ This application form must be completed in full and all required information must be submitted. (P/ease print.) , Job Site Address: i 1 f�-- � `z_t' L�'� t-�-�l � �-- � CONTRACTOR/APPLIGANT INFOftMATION: Name: � �._ ; ) __ � � �-s c,r Phone: '� '; <'_ � �1 - Fax: Address: ` � � �?.� ,�-�.�. -� �-�� Cit : .,� ��(,� Z1P: �?�.�-t,-. Contact Person: a �. �d' � .- <r ContacYs phone number ''7� `_ - �+ `;t�- `�'". � `> Email ,i - ; ,-- _, '+, ,• '' �°� �•,_ , �.,>-��Applicant is: Contractor oFi�mei� (Circle One) , PROPERTY OWNER INE�ORMATIOI�: ` � , Name: ; � �ti ec�t r � l� �(� ��S c��.z. Phone (day): _ :�`_ ��_ _�: S Mailing Address: �'� .�-� t e _ r.. �'1.��J ZIP: ,;� " Email andlor Fax ,-,1-Z i r� f�- ` > � � �o � �_ �� Overall Project Description: '��<-�'y�-, � �.P `� �•°�� CBoXk TYPE OF PERMIT collected whenE ermit is issued Dock, Commercial $50+engineering review costs Escrow for erosion control and en ineerin review costs $2,000 Dock, Residential - Permanent dock on any lake or initial seasonal dock not on Lake $50+engineering review costs Minnetonka ermanent dock re uires CUP Hardcover Permit: Driveway, Patio, Sidewalk,etc.(New or Replacement) No charge Also re uires is a Minor or Ma'or Land Alteration Permit Land Alteration, Major (grading, filling, or excavating) of more than 500 cubic yards $50 beyond the lakeshore setback OR more than 50 cubic yards within the lakeshore setback (also requires Conditional Use Permit) (Reference: Citv Code Sections 78-967, 78-1247 and 78-1286] Escrow for erosion control and engineering review costs As determined b CUP Land Alteration, Minor(grading, filling or excavating)of 51 to 500 cubic yards beyond the $50+engineering review costs lakeshore setback OR 50 cubic yards or less within the lakeshore setback [Reference: Citv Code Sections 78-967. 78-1247 and 78-1286] Escrow for erosion control and engineering review costs $2,000 Retaining Walls which exceed two feet in height above existing grade; or result in more $50+engineering review costs than 20 cubic yards of imported fill; or are located less than five feet from the property line. Escrow for erosion control and engineering review costs $2,500 (Reference: Citv Code Section 78-1405(5.1)l Retaining Walls which measure more than four feet(from bottom of footings to top of wall) require a building permit. Tiered retaining walls are considered one wall unless the walls are se arated b twice the hei ht of the lower wall. Stairway or Lifts to Lake(New or Replacement) lReference: City Code Sections 78-12821 $50+engineering review costs Escrow for erosion control and engineering review costs $2,OG0 � Structure Permit for other structures 200 sf or less not requiring a building permit but $50+engineering review costs v' regulated by the zoning code fReference: Citv Code Section 86-66/ Escrow for erosion control and en ineerin review costs $2,500 Tree Removal or other vegetation removal within 75 feet of lakes No charge. Reference: Ci Code Section 78-1285 Pre-inspection required. Tem ora Construction Office/Trailer associated with buildin ermit $30 Updated: May 2015