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� � . • City of �rono <br /> Zoning Permit A lication <br /> Marling Address: Permit number: �i ' �� <br /> �Q�O PO Box 66 Date received: l � <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and j � � G'j� � <br /> Street Address: amount: z�Od 4 <br /> ,� � 2750 Kelley Parkway Permit Fee: �— <br /> y� ` Orono, MN 55356 � <br /> ��,�' Approved by: � <br /> `q kf S H o Fax: 952-249-4616 <br /> Main: 952-249-4600 Notes: " � e h� <br /> :hrr�w_ci.o��ro_,��n�+s <br /> This applicetion form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: _Lqt"{ � �_ 4�re,��(�(; (� (� C,, <br /> CONTRACTOR/APPLI ANT INFORMATION: <br /> Name: Y1 <br /> Phone: - 2 Fax: ' S— <br /> Address: i Ci : ZIP: <br /> Contact Person: ; �� Contact's phone number (�j�'Z—�',l q-zS;'ZQ) <br /> Email ` � SC L Applicant is: ntr cf3r Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATIO : <br /> Name: {� ('.S <br /> Phone(day): 5 2- 3 ^� b <br /> Mailing Address: j � � � r ZIP: �j 5 ?, l <br /> Email and/or Fax �ij�}-�yl� (�•}f-, y�e�- <br /> Overall Project Description: r� C r`�,` �' I � r V W ' v VJFU, <br /> CBoxk TYPE OF PERMIT co!lecfed 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 AAinor 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 /> fReference: 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 Gode 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 /> fReference: 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 walt unless the walls <br /> are se arated b twice the hei ht of the lower wall. <br /> Stairway or L1fts to Lake(New or Replacement) fReference: Ciri Code Sections 78-12821 $50+engineering review costs <br /> Escrow for erosion con#rol 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: Ciiv Code Section 8&66I <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 /> Reference: Ci Code Section 78-1285 Pre-ins ction re uired. <br /> Tem ora Construction OfficelTrailer associated with buildin ermit $30 <br /> �f rT �� .� <br /> ° (� � � �r � - '�j �0 1/�'F' �/'�'��. <br /> Updated: May 2015 , <br /> :� . �G dCJ�P�^� <br />