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Y <br /> City of Orono <br /> Zoning Permit Application <br /> Mailing Address: Permit number: p'0/( — 00 7 5141 <br /> %WA j PO Box 66 <br /> iiti2_ Crystal Bay, MN 55323-0066 Date received: b vZ V—/4i <br /> Escrow#and <br /> Street Address: amount: W( +_7„'��hIV-(w �!' <br /> 2750 Kelley Parkway <br /> y Orono, MN 55356 I\ 1/1 Permit Fee: i� <br /> • <br /> 4kE5 H OQ'� Fax: 952-249-4616 Approved by: SSD <br /> 952-249-4600 .1.I Notes: <br /> www.ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. (Please 'nt.) <br /> Job Site Address: C25 Oi o OCC .61(. . /5e.( (fvp/Y` 4 <br /> CONTRACTOR/APPLICANT INFORMATION: CJ/ <br /> Name: -P€1 v€. $c#1Q2t1‹. <br /> Phone: 6/2--1747-9tf5 b Fax: <br /> Address: /5 Qt.p24 D7ytu / , 5 City: OICOAA3 ZIP: 55391 <br /> Contact Person: 5 rom 6 Contact's phone number 5,9/116 <br /> Email /;e},c.•L 5 Ctie re e 6 q nta.4(, Applicant is: Contractor + e) (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: / c. '+0e dre .d.n8r <br /> Phone(day): G/vi-9/65- no i ci <br /> Mailing Address: o96 On:tno 521rti-%es,r /�Q,d, ZIP: 55. 5(,, <br /> Email and/or Fax /7'24e ,. ,,C.c NL <br /> Overall Project Description: _.7-02/90..-467 A-1/ /OPVb //e1♦♦♦ . 14 7 55'./x,' i 4eS <br /> /004,vj r t <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 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 /> XLand 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 /> 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: City Code Section 78-12851 Pre-inspection required. <br /> Temporary Construction Office/Trailer(associated with building permit) $30 <br /> Updated: May 2015 <br />