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� ., <br /> � r ._., �es <br /> City of Orono <br /> Zoning Permit A lication <br /> � O Mailing Address: Permit number. ��(� "��� � <br /> � � PO Box 66 �a � <br /> O Crystal Bay, MN 55323-0066 Date received: <br /> Escrow#and <br /> Street Address: amount: <br /> 2750 Kelley Parkway <br /> y � Orono, MN 55356 Permit Fee: <br /> G <br /> �qk�SHO�� Fax: 952-249-4616 Approved by: <br /> Main: 952-249-4600 Notes: <br /> www.ci.orono.mn.us <br /> This application form must be completed in fuU and all required information must be submitted. {P/ease print.) <br /> Job Site Address: ��� i !1 e h�d, t�-��o �i �Gt-rt d L /� . . �ran� � /j1/'1� SS3.3�b <br /> CONTRACTOR/APPLI ANT INFORMATION: <br /> ►vame: �o b e rfi l�le��'8 h <br /> Phone: �s4s�— �]S- �f'S� Fax: <br /> Address: ` Cit : � ZIP: S(� <br /> Contact Person: lQ, ✓' Contact's phone number — 'Z$ Z. <br /> Email �n � ��yy� �-(�Q,��.y���'��icant is: Contractor omeowne (Circle One) <br /> PROPERTY OWNER FORMATION: <br /> Name: .523 Yl <br /> Phone(day): —14 <br /> Mailing Address: e � I� ZIP: <br /> Email and/or Fax � � !rr <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 Partnit <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 /> IReference: Citv Code Sections 78-9B7.7&1247 and 7&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 /> (Reference: Citv Code Sections 78-967.7&1247 and 7&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 7&1405(5.111 <br /> Retaining Walls which measure morie than four feet(from bottorn 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) [Refenence: 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 IReference: Citv Code Sectfon 86-661 <br /> Escrow for erosion control and en ineering review costs $2,500 <br /> �• Tree Removal or other vegetation removal within 75 feet of lakes No charge. <br /> �� rence: Ci Code SecH n 7&1285 Pre-ins ction required. <br /> Tempora Construction Office/Trailer associated with buildin permit $30 <br /> Updated: May 2015 <br />