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City of Orono <br /> Zoning Permit A lication <br /> Mailing Address: Permit number. ��� S-���S� <br /> �Q/�jO PO Box 66 Date received: �� " �.3 ��5 <br /> ` Y Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> SfreetAddress: amount: � � ���5 � ���' <br /> y 2750 Kelley Parkway permit Fee: (� I � <br /> � Orono, MN 55356 <br /> G <br /> �`qkfSH��� 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 prirrt.) <br /> ..�� 3��� �t �� �-�-�- ���� �� � � A ��� <br /> Job Site Address: t�'�"° ' <br /> CONTRACTOR/APP ICANT INFOR TI N: <br /> Name: ��-�k✓�rl t '-�`�,� <br /> Phone: _ -�" <br /> °-• Fax: <br /> Address: �� l`- �,-�-� Cit : �. �� ZIP: � C� <br /> Contact Person: ContacYs phone nu er ° � ' <br /> Email t,f,,,-g�� C•,��,�.-� �NP��-C"e•,�l Applicant is: ontractor omeowner (Circle One) <br /> v <br /> PROPERTY OWNER IyFORMATIQN: <br /> Name: � ���.�-'� <br /> Phone(day): Z�P. { <br /> Mailing Address: � �� G'r � �"�' �°o� '� �" <br /> Email and/or Fax <br /> Overall Project Description: � � !""��'� �r�- � '� <br /> Check FEE <br /> Box TYPE OF PERMIT 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 rmanent dock re uires CUP <br /> Hardcover Permit:Driveway,Patio,Sidewalk,etc.(New or Replacement) No charge <br /> Also uires is a Minor or Ma or Land ABteration Pem�it <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• Citv Code Secdons 78-967.78-f247 and 78-?2861 <br /> Escrow for erosion control and engineermg revaew costs As determined b CUP <br /> Land Alteration,Mi�or(grading,filling or excavating)of 51 to 500 cubic yards beyond the $50+engineering review casts <br /> lakeshore setback OR 50 cubic yards or less within the lakeshore setback <br /> (Reference• CiN Code Sectrorts 78-96T 78-1247 and 78-12861 <br /> Escrow for erosion control and engineenng 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 engi�esring review costs $2.500 <br /> IReference• Cftv Code Section 78-1405f5J)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 wa�ls 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 SecBons 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 perrnit but $50+engineering review costs <br /> regulated by the zoning code tReference: Citv Code SecUon 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: Ci Code SecUon 78-1285 Pre-ins ection re uired. <br /> Tem ora Construction OfficelTrailer associated with buildin rmit $30 <br /> Updated: May 2015 <br />