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� City of Orono <br /> Zoning Permit Application <br /> Mailing Address: Permit number: <br /> �,��0 PO Box 66 Date received: �� <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: � ��L� <br /> 2750 Kelley Parkway --, <br /> y ` Orono, MN 55356 Permit Fee: �� <br /> F �, <br /> �,9 F, Approved by: <br /> kES H O� Fax: 952-249-4616 <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. (P/ease print.) <br /> Job Site Address: r v�t� S 1-�d2�E Lt,N-�� U-�2- <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: �� Tb 2_�t.� 1(�L(�.b.-Z_ <br /> Phone: Fax: <br /> Address: ��'�9-�5 5"r City: E'C(�.t��L ZIP: ���� <br /> Contact Person: ContacYs phone number !p�'Z� �f�_ �p5q'2- <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: �1� 'n.(,�L��iL <br /> Phone(day): <br /> MailingAddress: 1g3� S�1,c��Tla�^�c �1�• ZIP: �r,3� � <br /> Email and/or Fax <br /> Overall Project Description: �7�Z'�' <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 requires is a Minor or Ma'or Land Alteration Permit <br /> Land Alteration,Major(grading,filling,or excavating)of more than 500 cubic yards beyond $50 <br /> the lakeshore setback OR more than 50 cubic yards within the lakeshore setback (also <br /> 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 /> 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 /> [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 are <br /> se arated b twice the hei ht of the lower wall. <br /> � Stairway or Lifts to Lake(New or Replacement) lReference: Citv Code Secrions 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 /> Tempora Construction OfficelTrailer associated with buildin permit $30 <br /> Updated: January 2017 <br /> � <br />