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f � �. � City of Orono <br /> � d,2� Zoning Permit A lication <br /> ' Mailing Address: Permit number: L1 � �� �/.� L <br /> �Q,�O PO Box 66 � <br /> Crystal Bay, MN 55323-0066 Date received: � ���"�� <br /> -,� ,, :ar.,�J� scrow#and � <br /> Street Address: �� ��-= �, �� �' � �` 1 Cf� <br /> t amount: � C'� -G ��_� - ' <br /> � 2750 Kelley P�rkway permit Fee: F� <br /> �y �� Orono, MN 55356 `� � <br /> � G <br /> t'KESH04'� Fax: 952-249-4616 /aPProved by: �J(,�► <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: ����I� �/�l�a�(_� ��,'��C�i <br /> CONTRACTOR/AP�I,f�pANT INFORMATION: <br /> Name: Ir <br /> Phone: Fax: <br /> Address: _ Ci : ZIP• <br /> Contact Person: ContacYs phone number <br /> Emaif Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION�1'" <br /> Name: � Cx, <br /> Phone(day): - <br /> Mailing Address: '�' q " �, /(,r" ' � � Z�p; <br /> Email and/or Fax �✓It�� �, . <br /> Overall Project Description: ���v� ��� (� � � �_� ��-�.�V�� <br /> Check TYpE OF PERMIT FE <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 errnanent dock re uires CUP <br /> Hardcover Permit: Driveway, Patio, Sidewalk,etc. (New or Replacement) No charge <br /> �� Also re uires is a Mlnor 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 /> lReference: Ciri 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 /> X lakeshore setback OR 50 cubic yards or less within the lakeshore setback <br /> lReference: Citv Code Sections 78-967. 78-1247 and 78-1286i <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 /> eference: Cltv Code Section 78-1405f5.111 <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) lReference: Citv Code Sections 78-12821 $50+engineering review cosYs <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 /> efe�ence: Ci Code Section 78-1285 Pre-ins ection re uired. <br /> Tem ora Construction Office/Trailer associated with buildin rmit $30 <br /> Updated: May 2015 <br />