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` � -� City of Orono <br /> 1� r - , <br /> Zoning Permit A lication <br /> Mailing Address: Permit number: ��D������ <br /> �Q�O PO Box 66 Date received: OJ�� '� ��(p <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and <br /> Street Address: amount: <br /> � 2750 Kelley Parkway permit Fee: <br /> y � Orono, MN 55356 <br /> G <br /> t9kESH0��' Fax: 952-249-4616 Approved by: <br /> Main: 952-249-4600 Notes: <br /> www.ci.orono.mn.us <br /> This appfication form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: �Q 7 1"a/' � �n Q/'d�p <br /> CONTRACTOR/APPLI�(AN INFORM TION;, 1 / / / <br /> Name: N�n�erw� p ec $'e�✓ice ��aft V adef�lOO � <br /> Phone: !2- S' 7 - Y3 `6 Fax: <br /> Address: 6 Ci : /f� d ZIP: ,S':S3 <br /> Contact Person: Seon t�� e�n ContacYs phon� 6 l2-S97- y3 O <br /> Email Applicant is: ac Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: � <br /> Name: /I�o��Gn C ° �r✓ sr� i f�, <br /> Phone(day): <br /> Mailing Address: SD 7 0� n Orona ZIP: <br /> Email and/or Fax <br /> Overall Project Description: <br /> CBoXk TYPE OF PERMIT collected whenE ermit is issued <br /> Dock,Commercial $50+engineering review costs <br /> Escrow for erosion control and en ineerin 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 ermanent dock re uires CUP <br /> Hardcover Permit: Driveway, Patio,Sidewalk,etc.(New or Replacement) No charge <br /> Also re uires is a Minor or Ma or 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 /> lReference: Ciri Code Sections 78-967. 78-1247 and 78-12861 <br /> Escrow for erosion control and engineering review costs As determined b 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 /> lReference: Citv 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 /> lReference: Citv Code Section 78-1405(5.111 <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 b twice the hei ht of the lower wall. <br /> Stairway or Lifts to Lake(New or Replacement) lReference: Citv 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 lReference: Citv Code Section 86-661 <br /> Escrow for erosion control and en ineerin review costs $2,500 <br /> Tree Removal or other vegetation removal within 75 feet of lakes No charge. <br /> R ference: Ci Code Section 78-1285 Pre-ins ection re uired. <br /> Tem ora Construction Office/Trailer associated with buildin ermit $30 <br /> Updated: May 2015 <br />