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City of Orono Zoning Permit Application Mailing Address: Permit number: PO Box 66 Date received: Crystal Bay, MN 55323-0066 Escrow#and Street Address: amount: cibl 5-OZ)7(� Q V, 2750 Kelley Parkwa6 Permit Fee y Orono, MN 5535 r F G !,9 i Approved by: kESHO� Fax: 952-249-461 a, Notes: Main: 952-249-460 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. (Please print.) Job Site Address: L/ 73l/(cry4) ,�� ayc Iy i 6�Y ut_, ),10 CONTRACTOR/APPLICANT INFORMATI Name: (it Phone: tJ Fax: Address: Ci ZIP:h Contact Person: Contact's phone number o 1A 7 C-'S Sr,, �p Email �;1, l,,Rpplicant is: ontrac r omeown (Circle One) PROPERTY OWNER INF RMATI N: II / Name: U '(S tiL i b Lr' Phone (day): Mailing Address: >* d ZIP: Email and/or Fax X f; Qv— Overall Project Description: 6oxS Yu iY-& '-f lar to.SA-;'t- texx ze,,4 ©ve CBE Check TYPE OF PERMIT collected when Box permit is issued Dock, Commercial $50+engineering review costs Escrow for erosion control and engineering review costs $2,000 Dock, Residential - Permanent dock on any lake or initial seasonal dock not on Lake $50+engineering review costs Minnetonka(permanent dock requires CUP Hardcover Permit: Driveway, Patio, Sidewalk,etc. (New or Replacement) No charge Also requires is a Minor or Major Land Alteration Permit Land Alteration, Major (grading, filling, or excavating) of more than 500 cubic yards $50 beyond the lakeshore setback OR more than 50 cubic yards within.the lakeshore setback (also requires Conditional Use Permit) (Reference: City Code Sections 78-967. 78-1247 and 78-12861 Escrow for erosion control and engineering review costs As determined by CUP Land Alteration, Minor(grading, filling or excavating)of 51 to 500 cubic yards beyond the $50.+engineering review costs lakeshore setback OR 50 cubic yards or less within the lakeshore setback !Reference: City Code Sections 78-967. 78-1247 and 78-12861 Escrow for erosion control and engineering review costs $2,000 Retaining Walls which exceed two feet in height above existing grade; or result in more $50+engineering review costs than 20 cubic yards of imported fill; or are located less than five feet from the property line. Escrow for erosion control and engineering review costs $2,500 [Reference: City Code Section 78-1405(5.1)] Retaining Walls which measure more than four feet(from bottom of footings to top of wall) require a building permit. Tiered retaining walls are considered one wall unless the walls are separated by twice the height of the lower wall. Stairway or Lifts to Lake(New or Replacement) !Reference: City Code Sections 78-12821 $50 +engineering review costs Escrow for erosion control and engineering review costs $2,000 Structure Permit for other structures 200 sf or less not requiring a building permit but $50+engineering review costs regulated by the zoning code!Reference: City Code Section 86-661 Escrow for erosion control and engineering review costs $2,500 Tree Removal or other vegetation removal within 75 feet of lakes No charge. Reference: CitX Code Section 78-1285 Pre-inspection required. Temporar Construction Office/Trailer associated with building permit $30 Updated: May 2015