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• � City of Orono <br /> � � � � ` Zoning Permit A lication <br /> O Mailing Address: Permit number: �p�5`� �gD <br /> g, �O PO Box 66 ,�1 S <br /> Crystal Bay, MN 55323-0066 Date received: /�-rU . �( �.DI <br /> Escrow#and <br /> Street Address: amount: � , 02 n�5' b �( �P <br /> ,� 2750 Kelley Parkway <br /> � � Orono, MN 55356 Permit Fee: � <br /> � G <br /> t�KES H O�� 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#ull and all required information must be submitted. (P/ease print.) <br /> Job Site Address: � I �j � 1 �J(�Y�'V` / 1� �{�'� � " �V�/f' `� ��� <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: <br /> Phone: — — Fax: <br /> Address: � Ci : ZIP: <br /> Contact Person: ContacYs phone number <br /> Email h�1I�1QIYh,QS G�i GSI1'�Ct)r�,��pPlicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORM TION: ��� <br /> Name: J�'�G� ���LQ� -b 01 �r�S(� <br /> Phone (day): I — 7 <br /> Mailing Address: ZIP: <br /> Email and/or Fax <br /> Overall Project Descrlptlon: v Z. {,� � "" Ol � (� NV� `�'q".7 0 �� <br /> �BoXk TYPE OF PERMIT collecfed 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 ulres is a Minor or Ma or Land Alteratlon Permlt <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 /> fReference: Ciiv Code Sections 78-9B7. 78-1247 and 78-12881 <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 /> Xlakeshore setback OR 50 cubic yards or less within the lakeshore setback <br /> lReference: Citv Code Sections 78-987. 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: Cltv Code Sectfon 78-1405(5.111 <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 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 lReference: Citv Code Section 86-s61 <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: Ci Code Section 78-1285 Pre-ins ection re uired. <br /> Tem ora Construction Office/Trailer associated with buildin ermit $30 <br /> Updated: May 2�15 <br />