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� � City of Orono <br /> � Zoning Permit Application AFk,r-�u. - �-�c.�- <br /> O Mailing Address: Permit number: 1 � � 0 <br /> � � PO Box 66 �.r- ' <br /> O Crystal Bay, MN 55323-0066 Date received: �" " o2U� <br /> Escrow#and <br /> Street Address: amount: <br /> 2750 Kelley Parkway <br /> y � Orono, MN 55356 Permit Fee: <br /> � G <br /> �, Approved by: <br /> �kESHO� Fax: 952-249-4616 <br /> Main: 952-249-4600 Notes: <br /> w�N�v.ci.or�no mn.us <br /> This application form must be completed in full and all required in#ormation rnt�s� be submitted. (Please print.) <br /> -� r� �-�� �- ,� �. , / <br /> Job Site Address: �� � ' - ( �Js � <br /> CONTRACTOR/APPLICANT INFORM�TIODJ: <br /> Name: ��,-�.� �_r -c .�,, /.) �.�-��� _ � e <br /> Phone: Z ,�7 c� ;Y- - " — Fax: <br /> Address: / � c� '' /(% �` . - Cit : ✓� ZIP: � l <br /> Contact Person: / . ContacYs phone number . i z-7c�,�-��`f >— <br /> Email �'�..���- :',/ i,J.,, � .. - S<•--✓ Applicant is: Contractor Homeowner (Circle One) <br /> C G ..i . U � <br /> PROPERTY OWNER IN�RMATION: <br /> Name: � l� t �7nS�_- <br /> Phone (day): �L - 7J" -- .� � n � <br /> Mailing Address: ,�� ' ' C v- < <, 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 requires 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: Citv 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 /> /Reference: 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(5.1)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 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 fReference: 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 /> fReference: Citv Code Section 78-12851 Pre-inspeCtion required. <br /> Temporar Construction Office/Trailer associated with buildin permit $30 <br /> Updated: May 2015 <br />