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r City of Orono <br /> , , Zoning Permit Application <br /> Mailing Address: Permit number: �-d/3 <br /> �Q�O PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: /O-�ZD -/.1`� <br /> Escrow#and <br /> StreetAddress: amount: ��j��� j �"��;� <br /> � � 2750 Kelley Parkway Permit Fee: �Q(,(' UC�-- <br /> y ; Orono, MN 55356 <br /> � G r,' <br /> `�KFS}-�0�� Fax: 952-249-4616 Approved by: �-.M�t�lr <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. (Please print.) <br /> Job Site Address: ��� 5 .�l ��Q a� � � <br /> CONTRACTOR/APP ICANT INF RMATION: � <br /> Name: � e <br /> Phone: � Fax: - ( <br /> Address: Cit : ZIP: -53 <br /> Contact Person: �"� M S rn t�T �4 ContacYs phone number ��t z ,50 a} 31�-{ <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: , <br /> Name: 7 a v.�: '_=�rrn�-��. <br /> Phone(day): (�l� - �,��- - ��1�-- <br /> Mailing Address: �` ��� ZIP: <br /> Email and/or Fax �,.,.n ,��� L� , `o r,,, <br /> Overall Project Description: <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 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 /> XO (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 /> lReference: 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 /> lReference: 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) �Reference: 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 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 /> Reference: Cir Code Section 78-1285 Pre-inspection required. <br /> Tem orar Construction Office/Trailer associated with buildin ermit $30 <br /> Updated: May 2015 <br />