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� � - . City of Orono <br /> Zoning Permit Application <br /> Mailing Address: Permit number: �5��� g <br /> �,Q�O PO Box 66 Date received: � I �`�/ <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and A� <br /> Street Address: amount: (`F/t"� <br /> 2750 Kelley Parkway �( QU <br /> y ` Orono, MN 55356 Permit Fee: ��p .r �� = <br /> � G <br /> l�kESH��� 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. (P/ease print.) <br /> Job Site Address: ��� ��V'`� ���Y'G YV1V�G ' <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: — _ � <br /> Phone: Fax: - O <br /> Address: Ci : ZIP: <br /> Contact Person: ContacYs phone n - � <br /> Email f��,rk� (�G�;(,��Applicant is: tracto Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATIO : <br /> Name: J��IVI �'J(('V�� <br /> Phone(day): <br /> Mailing Address: � � iV vt_ ZIP: <br /> Email and/or Fax � �' ' , , <br /> 1 <br /> Overall Project Description: r p�,� t N � � SI '$ <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 $50 <br /> beyond the lakeshore setback OR more than 50 cubic yards within the lakeshore setback <br /> (also requires Conditional Use Permit) <br /> (Reference: 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: Ciri 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 Secfion 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) lReference: 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 /> T�ee Removal or other vegetation removal within 75 feet of lakes No charge. <br /> Reference: Ci Code Section 78-1285 Pre-inspection re uired. <br /> Tem ora Construction Office/Trailer associated with buildin ermit $30 <br /> Updated: May 2015 <br />