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. ' <br /> ;REGEIVED City of Orono <br /> OCT 0 6 2Q16 �oning Permit A lication <br /> � Mailing Address: Permit number: ����P'� �� <br /> � PO Box 66 Date received: �Q' �—� <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> 2750 Kelley Parkway <br /> �� 1 Orono, MN 55356 Permit Fee: <br /> G <br /> �'�k�SHoa�' Fax: 952-249-4616 Approved by: <br /> Main: 952-249-4600 Notes: <br /> www.ci.qrono.mn.us <br /> 7his application fo(m must be completed in;fult�nd al�requiretl i�ifarm�tion must be submitted. (Please print.) <br /> Job Site Address: <br /> CONTRACTOR J APPLICANT INFORMA710N: -- CG�tY�L.-7Z>�2 ��3 J� <br /> Name: <br /> Phone: Fax: <br /> Address: Cit� ZIP: <br /> Contact Person: ContacYs phone number <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: '[�y/S� c3"�� f}— <br /> Phone(day): a— — 3�E '"�t. <br /> Mailing Address: 27� t� JJ V '�'C►til' ZIP: <br /> Email and/or Fax <br /> Ove�allProJectDescription: �c'�(/t�,� T7�L�5 !� CS� �2N�lJYF� �r�'7?<Y7 /��'� L�G.�S�� <br /> Check 'i'YPE OF PERMIT FEE � <br /> Box collected whan 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 uires is a Mlnar or Ma or Land Altera�on F�ermit <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 Iakeshore setback <br /> (also requires Conditional Use Permit) <br /> lReference: CTtv Code Secdons 78-987.78-1247 and 78-12861 <br /> Escrow for erosion control and engineering review costs As determined b CUP <br /> Land Alteration, Minor(grading, fllling 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 /> [Reference: Cfri Code Sectfons 78-857.78-1247 and 78-12881 <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 /> fReferenCe: Cltv Code 5ection 78-1405(3.i)] <br /> Retalning 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 ta Lake(New or Replacement) tReference: Clrv Code sec�s 78-1282I $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 /> �egulated by the zoning code fRefere�ce: Citv Code Sect/oo 8&6B1 <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 /> R /eren e: G C d�S ct/ n 7 -12 Pre-lns ction re ulred. <br /> Tem ora Constructlon Offlce/Trailer associated with buildin ermit $30 <br /> Updated: May 2015 <br />