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� <br />� City of Orono <br /> Zoning Permit Application <br /> « Mailing Address: Permit number: — � <br /> �,�Q�O PO Box 66 Date received: J�' �� — <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> 2750 Kelley Parkway <br /> y ; Orono, MN 55356 Permit Fee: � L •Q . ry , e, <br /> � G <br /> `�kES}i0�� 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: -�j/ �" �+ _,1... <br /> ��� �t�� �f��' .��. <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: �c��, /Vl..� ��w .�xr�-._ <br /> Phone: -� -g Fax: <br /> Address: ��o, -S f�„Q�,,�Q �� City��,�,,o ZIP: 55 3�/� <br /> Contact Person: �_,� ��f��,�,�,�� ContacYs phone number �r�py6�,sp�5 <br /> Email ,n�(,.�,����,�,s ,���� h��� Applicant is: ontrac or Homeowner (Circle One) <br /> . �•�--- <br /> PROPERTY OWNER INFORMATION: <br /> _ � <br /> Name: `t��� iUr� �- ---- � 1��'\� �t�•� <br /> Phone(day): � <br /> Mailing Address: 3/� �-, � (�;- ZIP: <br /> Email and/or Fax � ` <br /> Overall Project Description: �Gc. sS �-y� � �"" <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 requires 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 50 cubic yards within the lakeshore setback <br /> (also 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 /> 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 /> (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 <br /> are se arated b twice the hei ht of the lower wall. <br /> Stairway or Lifts to Lake(New or Replacement) �Reference: 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 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-inspection required. <br /> Tem orar Construction Office/Trailer associated with buildin permit $30 <br /> Updated: May 2015 <br />