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City of Orono <br /> Zoning Permit Application <br /> Mailing Address: Permit number: 7`0 <br /> PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: t'- <br /> Escrow#and <br /> Street Address: amount: <br /> y 2750 Kelley Parkway <br /> d Orono, MN 55356 Permit Fee: <br /> � G <br /> I�kEslio 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 submitte .'(i�le83e <br /> Job Site Address: / C-�- o�C� / ec,C <br /> Name: <br /> /APPLICAI�;T,1�/�IV�ATIO�t� <br /> me: / 0c,I-, �h r <br /> Phone: L l -2 C>ACC�i - Fax: <br /> Address: , Cit <br /> - �, ZIP: <br /> Contact Person: 1, Contact's phone number.-. j _,9 Q cj z1� �S <br /> Email 1�el6 bm, , Applicant is: (<Contr� Homeowner (Circle One) <br /> PROPERTY OWNE ORMATION: / <br /> Name: t 11 /xa Phone (day): - Ll <br /> Mailing Address: - i = r~ �� ZIP: _ �- <br /> Email and/or Fax ,e' <br /> Overall Project Description: <br /> - Check- - -- - <br /> - -TYPE OF PERMIT FEE - - - <br /> Box collected when permit is issuec <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 separated 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 /> xi 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: Cily Code Section 78-1285 Pre-inspection required. <br /> Temporary Construction Office/Trailer associated with building permit $30 <br /> Updated: May 2015 <br />