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City of Orono <br /> Zoning Permit Ap lication <br /> ..� <br /> Mailing Address: �M' Permit number: " � ' 7 -����' � <br /> �Q f�O PO Box 66 � Date received: - '"�� <br /> Crystal Bay, MN 553 <br /> ,�/,�� Escrow#and � � �� � <br /> Street Address �tb amount: •- ;� ^� �/��'��'. f l�� <br /> 2750 Kelley Parkwa� <br /> y ; Orono, MN 55356 � Permit Fee: --b� <br /> F <br /> !q �,�' . Approved by: <br /> kEs H O� Fax: 952-249-4616 <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: '"7�� `� 1 V. �1�� ,�(' , , ����, ��� �'�j��L� <br /> CONTRACTOR I APPLICANT INFORMATION: <br /> Name: � L = ti L/1 ?" <br /> Phone: .2 — 6� _ Fax: S/- t G� <br /> Address: �,231 - p �1 - � Cit :SC L A �P� �S <br /> Contact Person: 7�Fr (di�J l�C L L Contact's phone number G i Z_ $-y p �. 7 �;;�j <br /> Email �r�f r'�/��"V 2� C rcas� �'i`�l Applicant is: Contractor Homeowner (Circle One) <br /> � <br /> PROPERTY OWNER INFORMATION: 1_ ! <br /> Name: ��r'� SJ l�i��('�R, l� V vaSS�-i�f'"(_ <br /> Phone(day): 3 -2 - ` / <br /> Mailing Address: �{ �-�`� '�O(-� f ZIP: '£�3 . <br /> Email and/or Fax ��q c S C���� R �' <�r"7 A /L' . �(!/y <br /> Overall Project Description: <br /> CBoXk TYPE OF PERMIT collected 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 uires is a Minor or Ma'or Land Alteration Permit <br /> Land Alteration,Major(grading,filling,or excavating)of more than 500 cubic yards beyond $50 <br /> the lakeshore setback OR more than 50 cubic yards within the lakeshore setback (also <br /> requires Conditional Use Permit) <br /> lReference: Citv 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 /> (Reference: 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 /> (Reference: Citv 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 are <br /> se arated b twice the hei ht of the lower wall. <br /> Stairway or Lifts to Lake(New or Replacement) fReference: 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+engineenng review costs <br /> regulated by the zoning code lReference: Citv Code 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-ins ection required. <br /> Tem ora Construction O�ce/Trailer associated with buildin ermit $30 <br /> Updated: January 2017 <br />