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City of Orono <br /> Zoning Permit Application L1 <br /> Mailing Address.' Permit number: (ri/ k- DO a'7 V <br /> �0\ 1 G <br /> Crystal Bay,MN 55323-0066 Date received: - _ ���a <br /> ��, Escrow#and <br /> (*,\)14 <br /> Street Address: amount: <br /> 2750 Kelley ParkwayPermit Fee: <br /> Orono,MN 55356L. Approved by: <br /> -k S H 0' Fax: 952-249-4616 <br /> Main: 952-249-4600 Notes: <br /> This application form must be completed in full and all requ ed informati n must be submitted. (Please print.) <br /> Address: -3 3 --. C Y' S/t / l`� <br /> Job Site <br /> CONTRACTOR/APPLICANT INFORMATION:—..//4 ---- <br /> Name: <br /> Phone: Fax: <br /> Address: City: ZIP: <br /> Contact Person: Contact's phone number <br /> Email W Applicant is: Contractor Homeowner (Circle Onfe) <br /> PROPERTY OWNER Itt�ORM O : -1 1�/// f�P.>v�e,e /4/.,.c .s i # /1-.P AlySe/' <br /> Name: 005i"'� e &a 14> <br /> Phone(day): 4 -r� �7_ , 7 / <br /> Mailing Address: pn RD ;f , t-K PO MAI ZIP: 6.. ?_p/ <br /> Email and/or Fax ,t'ri� ha x e c �Ai 1 C d- / <br /> Overall Project Description: /i" ' L�''e :.C. 4,/f (i�'u1 741,0e h y J Al ecJ/ve/c <br /> Check TYPE OF PERMIT FEE <br /> Box collected when permit is issued <br /> Dock,Commercial $50+engineering review costs <br /> Escrow for erosion control and en_gineering 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 beyond $50 <br /> the lakeshore setback OR more than 50 cubic yards within the lakeshore setback (also <br /> 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(6,1)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 are <br /> 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 /> regulated by the zoning code(Reference: City Code Section 86-661 <br /> Escrow for erosion control and engineering review costs $2,500 <br /> KTree Removal or other vegetation removal within 75 feet of lakes No charge. <br /> (Reference: City Code Section 78-12851 Pre-inspection required. <br /> Temporary Construction Office/Trailer(associated with building permit) $30 <br /> Updated: January 2017 <br />