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- � , � City of Orono <br /> � Zoning Permit Application <br /> Mailing Address: Permit number: —0 f S <br /> �Q�O PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: // — / —/ <br /> Escrow#and <br /> StreetAddress: amount: ��� � � �� ���� ���� � <br /> ,� � 2750 Kelley Parkway <br /> y � Orono, MN 55356 Permit Fee: ,. � <br /> �. /'� � � `' - <br /> G <br /> j�kFSHO��' 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: �4'�`�" /v���1 �j�1I• �-° �I <br /> CONTRACTOR/APPLICANT INFORM TION: <br /> Name: ' - '� ' (� <br /> Phone: �.,(� -- �jSq - ��j U 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: � <br /> Phone(day): - ^ - <br /> Mailing Address: � � ZIP: , <br /> Email and/or Fax r � �, •� � <br /> ,. <br /> Overall Project Description: `)�'�;�;c � 'a <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 /> Also re uires is a Minor or Ma'or Land Alteration Permit <br /> Land Alteration, Major (grading, filling, or excavating) of more than 500 cubic yards $50 <br /> beyond the lakeshore setback OR more than 5G cubic yards within the lakeshore setback <br /> (also requires Conditional Use Permit) <br /> lReference: Citv Code Sections 78-967. 78-1247 and 78-i28b1 <br /> Escrow for erosion control and engineering review costs As determined b CUP <br /> Land Alteration, Minor(grading,filling or excavaiing)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 /> lReierence: Citv Code Section 78-1405(S.UI <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 engineeri eview costs $2,000 <br /> Structure Permit for other structure 200 s or les ot requiring a building permit but $50+engineering review costs <br /> regulated by the zoning code lReference: ode 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 Section 78-1285 Pre-inspection required. <br /> Tem orar Construction Office/Trailer associated with buildin ermit $30 <br /> Updated: May 2015 <br />