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City of �rono <br /> � Zoning Permit A lication <br /> Mailing Address: Permit number. �C.���; " ��'����-�'`� <br /> �Q�O PO Box 66 _ <br /> Crystai Bay, MN 55323-0066 Date received: '� <br /> Escrow#and <br /> Street Address: amount: N <br /> � � 2750 Kelley Parkway Permit Fee: � ` ; �'� � <br /> y � Orono, MN 55356 .,_X� � <br /> G � �, . <br /> `�'�FS H O�� Fax: 952-249-4616 APP�ed by: � <br /> Main: 952-249-4600 Notes: � ; ,: (. -1 _ <br /> www.ci.orono.mn.us <br /> r. <br /> This application forrn must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: �� ���'1"uCW�O /t` 1`� <br /> CONTRACTOR/AP��ICANT INFORMATION: <br /> Name: � �� Lv����r� ; <br /> Phone: �.� - ,� ` Fax: <br /> Address: � i'V� r �,-�'� +1��Qt Ci : � )�, ZIP: ?' <br /> Contact Person: ContacYs phone number <br /> Email ��'�,;�t�,i�'� .�.�.� Applicant is: Contractor '��,Homeowne (Circle One) <br /> PROPERTY OWNE1�[NFORMATION: <br /> Name: Y�� " L.v i��,;i� <br /> Phone(day): j2� <br /> Mailing Address: S � (�c.,�.,/�r r /�l y ^ r Z�p. a <br /> Email andlor Fax y�f'!,.lC, rl"N� ,L-��^�t. <br /> Overall Project Description: �'����/ �'��/��r��J",G,,��7 <br /> Ch�� TYPE OF PERMlT FEE <br /> Box collected when rmit is issued <br /> Dock,Commercial $50+engineering review costs <br /> Escrow for erosion control and en ineerin review oosts $2,000 <br /> Dock, Residential — Permanent docic on any {ake or initial seasorsal docic nat on Lake $50+engineering review costs <br /> Minnetonka ermanent dodc uires CUP <br /> Hardcover Pe�mit:Driveway,Patio,Sidewalk,etc.(Ne�w or Replacement) No charge <br /> Also ufres is a Minor o�Ma" r Land Alteration Permit <br /> Land Alteration, Major (grading, fiiling, or excavating) of more than 5Q0 cubic yards $50 <br /> beyond the lakeshore setback OR more than 50 cubic yards within the lakeshore setback <br /> (also requires Conditional Use Pennit) <br /> IReference: Ciri Code Sections 7&9bT,7&1247and 7&12861 <br /> Escrow for erosion controi and engineering review costs As determined b CUP <br /> nd Alteration, Minor(grading,filling or excavating)of 51 to 500 cubic yarcls beyond the $50+engineering review costs <br /> f;,� lakeshor�e setback OR 50 cubic yards or less within the lakeshore setbadc <br /> /Refenence: Ciri Code Sections 78-967.78-1247 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 properiy line. <br /> Escrow for erosion control and engineering review costs $2,500 <br /> lReference: Citv Code Seclion 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) lReferenae: 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 pennit but $50+engineering review costs <br /> regulated by the zoning code(Reterence: Citv Code Section 86-661 <br /> Escrow for erosion controi and en ineerin review costs $2 5pp <br /> Tree Removal or other vegetation removal within 75 feet of lakes No charge. <br /> Reference: Ci Code Secrion 78-1285 Pre-ins tion uired. <br /> Tem rar Construction Offic�lTrailer associated with buildin Rnit $30 <br /> Updated: May 2015 <br />