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<br /> Gity o�' Qrono
<br /> Zoning Permit A lication
<br /> Mailing Address Permit number: ���y jJ�s f
<br /> "��f�'` PO Box 66
<br /> � Crystai Bay, MN 55323-0066 Date received: 7— ,2 —/S
<br /> Escraw#and ��,,/
<br /> Strcet Ac�ress: amount: 14 "O I Zb/ "l.1 ►W rU�M1"�'
<br /> .� � 2750 Keiley Parkway
<br /> 'S � � Orono, MN 55356 � PeRrrit Fee: �� � rt(.�,lVc(�
<br /> G '�'' \
<br /> F`9kESHOQ'�' , Fa�c: 952-249-4616 -r/p��ay�� ��ovedby
<br /> Main: 952-249-460Q
<br /> vvwur.ci.carvntr,mn.us
<br /> Th�s a�licaiion farm must be eompieted in full and ail required infarmation rr►u�t be submitt�d. (Please print.)
<br /> Job Site Address: I� �' ^�'`h��r-r�/,.� a I'�'r ��r� �r����� v f'�7i1/ �"`�"` Gi /
<br /> CONTRACTORiAPPUCANTINFdRMAT10N: 3 �
<br /> Name: ct F' : c, /„
<br /> Phone: �;5r-Y5�-�TaG/ Fax �Si- �d �t a,,;�,
<br /> Address: t?L>. �'cA�r ��2s1 Citv: f�v�.��rp�*�.z��'s` ZIP: S�,�F`� )4
<br /> Contact Person: ltle�rayG,�ar ,rf�`�rs{ �„svn�ContacYs phone number . •,;�3�Z� ` � _�.5�';�
<br /> E m a i l ��„t v�,� �F t r�.�a5d�,rr r►rr� c�w�pplicarrt is: ontrac o - Homeowner (Circle ne}
<br /> a>���rt1,�t�r«�t L.c�..�1s��rx,n.�ea.�+!
<br /> PRCfPERT�OWNER(NFt3RMATlt}N:
<br /> Name: �"?��v,a l"F 1d5n vsv f��,�N�t:. s��c� .�,> r�w�� �
<br /> � Phone(day}: 11 e E,;� ,h r.� -�5i- �i���-1 �� r� e�1���, a,� � '� � - � a�,
<br /> MailingAddress: y �,; f,�,,4 zIP: 5�- ,
<br /> Emaii andlor Fax ��. -� � � ��� . ��
<br /> Overalt Project Description: �,,.cz,...�..����,;� ,�,��„�f`t,�
<br /> .__ ... . _. . __ _ .__ .
<br /> Check . _ _ _ ._ __.._.. __
<br /> TYPE OF PERMIT FEE
<br /> Box cop�ted when rmit is issued
<br /> Dock,Commercial $50+engineering rer�ew costs
<br /> Escrow for erosion control and en ineerin revisw costs 2sp�p
<br /> Dock, Residential — Pertnanent dock on any lake or initial seasonal dodc not on Lake $50+engineering review costs
<br /> Minnetonka rmanent dodc re uires GUP
<br /> Hardcover Permit:Driveway,Patio,Sidewalk,etc.(New or Replacerr�entj No charge
<br /> Also re uires is a Minor or Ma'csr Land Afberation Pe�rnrt
<br /> Land Alteration, Nfajor (grading, filling, or excavating) of more tha� 500 cubic yards $5Q
<br /> beyond fhe lakeshore se�ack OR rrore tlian 50 cubic yards within the lakeshore setback
<br /> (also requires Conditiona!Use Fermit)
<br /> IRefet+ence; Cftv f�ode��p�s 7��g.��T�-'7&�1Z86t
<br /> Escrow for erosion cont,rol and e�gineenng review ctists As detemrined GUP
<br /> Land Al�ration, Minor(grading,filling or excavating)ot 51 to 50Q cubic yards beyond the $50+engineering review costs
<br /> lakeshore setback OR 50 cubic yards or less within tfie lakeshore setback
<br /> fReference• Clri Gode Sections T8-967 7&f247 and TS-f286J
<br /> Escrow for eros�on coniroM and engineering review costs $2,000
<br /> Retaining Walls v�fiich exceed two feet in height above existing grade; or resu{t in rr�ore $50+�ngineering review costs
<br /> than�D cubiF yards of imported fi�l;or are io�at�d{esS th�n five f�et from the property line.
<br /> Escrow for erosion cantrol and engineering review casts $2,500
<br /> fReference: Cltv Cade Sectfon 78-i4O�s.*�i
<br /> Retaining Walls which measur�e more than four feet(from bottcam of footings to top of wall)
<br /> require a building pertnit. Tiered retaining walls are considered one wafl unless the watls
<br /> are se arated b twice the her ht of the lower wall.
<br /> Stairway ar Lifts to Lake(New or Replacement) lReference: Crtv Code sect;ons 7a-12821 �50+engineenng review costs
<br /> Escrow for erosion control and engineering review casts $2,OQ0
<br /> Structure Permit for other structurers 200 sf or less not requiring a building petmft but $50+engineering rerview costs
<br /> regulated by the zoning code(�ace: c►ev coate Sectlon ss-ss�
<br /> Escrow for erosion control and en ineerin neview costs � g,2 gpp
<br /> Tree Removal or other vegetation remaval within 75 feet of takes PJo charge.
<br /> Reterence: ct code secrion 7�t2s Pre-ins ction re uired.
<br /> Tem ora Construction�ce/Trailer associated vvith buildin rmit $30
<br /> RECEIVED
<br /> Updated: May2015 JUL 0 2 ?015
<br /> c�N oF a�c��o
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