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City of Orono <br /> � , -� ' Zoning Permit A lication <br /> Mailing Address: Permit number: '�3 9'� <br /> '�,Q,�O PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: o�d <br /> Escrow#and <br /> Street Address: amount: <br /> � 2750 Kelley Parkway <br /> y� ��` Orono, MN 55356 Permit Fee: <br /> tqkFSHO��G 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 full and all required information must be submitted: (Please print.) <br /> Job Site Address: ���9 /`� ' ��� ,�/� � <br /> CONTRACTOR/APPLICANT FORMATION: <br /> Name: ��e/� <br /> Phone: (� (� .-. �'�Q — t�� Fax: <br /> Address: City: ZIP: <br /> Contact Person: Contact's phone number <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: <br /> Phone(day): <br /> Mailing Address: Z�p: <br /> Email and/or Fax <br /> Overall Project Description: <br /> Check TYpE OF PERMIT FEE <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 ermanent dock re uires CUP <br /> Hardcover Permit: Driveway, Patio,Sidewalk,etc.(New or Replacement) No charge <br /> Aiso r ' uires is 8 Minor or Ma'or Land AI#eration 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 /> 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 /> Retainin9 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: Cifv 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 <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 fReference: Citv Code Section 86-ssl <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 /> Re n e: 1 Code S i n 7 -128 Pre-ins ection re uired. <br /> Tem ora Construction Oifice/Trailer associated with buildin ermit $30 <br /> Updated: May 2015 <br />