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� <br /> ' City of Orona <br /> r _ M <br /> Zaning Permit Ap lication <br /> Mailing Address: Permit number: U/ �-!/c� � <br /> �O�O CrysBtal Bay, MN 55323-0066 Date received: - �j � � �� � <br /> Escrow#and <br /> Street Address: amount: <br /> ,� � 2750 Kelley Parkway -� <br /> y � Orono, MN 55356 Permit Fee: <br /> � G <br /> l�kPsyO�� Fax: 952-249-4616 Approved by: <br /> Main: 952-249-4600 Notes: <br /> r..c.orono n�r u� <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: ; ^J � `� �� ;�n�-.�-�d ��. (/���� � 3� <br /> � <br /> CONTRACTOR/A�' N: <br /> Name: _ �4.,^, ��e�y � �v�c�. S�.-���� <br /> Phone: �i.,�� qs;�_ � �C�f S� Fax: <br /> Address: �` _�1�, r>52 S- ot�a Citv: ZIP: <br /> Contact Person: Contact's phone number ����- p� Z:� <br /> Email Applicant is: Contractor omeown (Circle One) <br /> PROPERTY OWNER INFORMATION: ., � <br /> Name: C��� �..,...�. �� ���S � �� �✓L+�-'r"�'�N <br /> Phone(day): 9'S� 5 S�b- �, � v$ <br /> Mailing Address: l � �S f-1 s:�.��-e. �-��<<c., ; �'►�.,..•-. ZIP: <br /> Email and/or Fax I- i � ` S� <br /> ��J'r r_ 4J�L�J � <br /> Overall Project Description: � ; 3��s.0 o�d5 . r �/�v- h..�—�st J .��.� � »��� � �� �� <br /> Check TYPE OF PERMIT EE <br /> Box col/ected 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 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: Cifv 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 /> lReference: 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 7s-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 fReference: 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 Seciion 78-1285 Pre-inspection required. <br /> Temporar Construction Office/Trailer associated with buildin ermit $30 <br /> Updated: January 2017 <br />