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City of Orono <br /> � Zoning Permit Application <br /> �/ Mailing Address: Permit number: �d/.� -�v (p 7,S <br /> �,Q�� PO Box 66 Date received: -�' ���J <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and t t� <br /> StreetAddress: amount: N <br /> � � 2750 Kelley Parkway <br /> � � Orono, MN 55356 Permit Fee: <br /> F � <br /> 1���'SH���'`� Fax: 952-249-4616 Approved by: � <br /> Main: 952-249-4600 Notes: <br /> www.ci.orono.mn.us �S _��_��-- <br /> This application form must be completed in full and all required information must be submitted. (P/ease print.) <br /> Job Site Address: ���� �-'�1'U�-- L�/��^-� � <br /> CONTRACTOR/APPLICANT INFORMATION: „_,,. a <br /> Name: � ���-� �C/'C_� � <br /> Phone: : � —y/� - "tiv3-4, Fax: � ',�-9ZE� `;2 7 <br /> Address: � -„�-, � L,'nc �, �c.. Cit : pc.�„ - ZIP: - "' `� <br /> Contact Person: �L i,Je c c� Contact's phone number IZ-�� � ��'.;� <br /> Email �,j:���icf'c-��C�l,�Chs;�Cv�^-, Applicant is: Contractor Homeowner'' Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: <br /> Phone (day): <br /> Mailing Address: ZIP: <br /> Email and/or Fax <br /> Overall Project Description: <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 engineering 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 Major 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 /> fReference: Citv Code Sections 78-967. 78-1247 and 78-12861 <br /> Escrow for erosion contro�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 /> ' scrow for erosion control and engineering review costs $ p � �� <br /> (Reference: Citv Code Section 78-1405(5.111 <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) fReference: Cirv 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 takes No charge. <br /> Reference: Cir Code Section 78-1285 Pre-inspection required. <br /> Tem ora Construction Office/Trailer associated with buildin ermit) $30 <br /> Updated: May 2015 <br />