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City of Orono <br /> Zoning Permit Application � <br /> Mailing Address: Permit number: `Q <br /> PO Box 66 <br /> ® Crystal Bay, MN 55323-0066 Date received: <br /> Escrow#and <br /> Street Address: amount: <br /> 2750 Kelley Parkway <br /> Orono, MN 55356 Permit Fee: <br /> � G <br /> `gkESHO�� Fax: 952-249-4616 Approved by: <br /> Main: 952-249-4600 Notes: <br /> www.ci.orono.mn.us >wttV?yI10N1�, MJ-4?t X04'1 <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: l c� o l 4 --' <br /> E'cL <br /> CONTRACTOR/APPLICAN,T,I�/�� PC,I,,ATIO <br /> Name: y; �� � e�f <br /> Phone: (., i �2 -�o c� - CC S Fax: <br /> Address: Cit <br /> • c ZIP: <br /> Contact Person: c, Contact's phone number-- j -2 © y <Z_?�S <br /> Email ���k �Iri? (�6n� Applicant is: (Contract Homeowner (Circle One) <br /> PROPERTY OWNE ORMATION: <br /> Name: I , M <- e >r /-,c -- <br /> Phone (day): 6, - Ll - _. _ <br /> Mailing Address: = r . :/ ZIP: - <br /> Email and/or Fax <br /> Overall Project Description: cc A- - �r ev �a s r 2 <br /> FEE -- <br /> Box TYPE OF PERMIT collected when permit is issued <br /> Dock, Commercial $50+engineering review costs <br /> Escrow for erosion control and engineering 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(permanent dock requires CUP <br /> Hardcover Permit: Driveway, Patio, Sidewalk,etc. (New or Replacement) No charge <br /> Also requires is a Minor or Major 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: City Code Sections 78-967. 78-1247 and 78-12861 <br /> Escrow for erosion control and engineering review costs As determined by 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: City 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: City 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 by twice the height of the lower wall. <br /> Stairway or Lifts to Lake(New or Replacement) !Reference: City 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!Reference: City Code Section 86-661 <br /> Escrow for erosion control and engineering review costs $2,500 <br /> Tree Removal or other vegetation removal within 75 feet of lakes No charge. <br /> Reference: a&Code Section 78-1285 Pre-inspection required. <br /> Temporary Construction Office/Trailer associated with building permit) $30 <br /> Updated: May 2015 <br />