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- ; City of Orono <br /> Zoning Permit Application <br /> O Mailing Address: Permit number: c /7—�D )dj <br /> S ` VO Cr Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: <br /> Escrow <br /> �� <br /> Escrow#and <br /> Street Address: amount: <br /> 2750 Kelley Parkway <br /> A <br /> Orono, MN 55356 Permit Fee: <br /> F G <br /> L' <br /> Approved by: <br /> kE S H O� Fax: 952-249-4616 <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 submitted. (Please print.) <br /> Job Site Address: .T.2-0 ©'cam C-17 SI-i 1 --/ R--a <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: <br /> Phone: Fax: <br /> Address: City: ZIP: <br /> Contact Person: Contact's phone number <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFOMATION: <br /> Name: J e e-- <br /> S <br /> Phone (day): 7(o3-"Zg-Z Z <br /> Mailing Address: '2c ops,- c S4-v ZIP: SS 391 <br /> Email and/or Fax --k ee$ c peS.�o -•%- <br /> Overall Project Description: —c��fe.,.9;r,--• L,,r.r- � <br /> ! <br /> CBoXk <br /> Box ck FEE <br /> TYPEOF PERMIT 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 /> 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 /> 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 />