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vIcy v1 v1vo1v <br /> Zoning Permit Application <br /> Mailing Address: Permit number. .6-0 (f <br /> PO Box 66 <br /> IG <br /> Crystal Bay, MN 55323-0066 Date received: <br /> Escrow#andI00 r Z, <br /> Street Address: amount: <br /> A 2750 Kelley ParkV�A� <br /> yF `� Orono, MN 5535Permit Fee: <br /> �kFSHO� Fax: 952-249-4616Approved by: <br /> Notes: ��7T,4yo <br /> Main: 952-249-4600 <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: 3850 Watertown Road <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: Dale Gustafson <br /> Phone: 763-544-4215 Fax: <br /> Address: 1845 Wisconsin Ave N Cit ZIP: 55427 <br /> Contact Person: Dale Gustafson Contact's phone 763-286-514 <br /> Email dalegus@earthlink.net Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: Mark Anderson <br /> Phone(day): 952-484-2545 <br /> Mailing Address: 3850 Watertown Road, Maple Plain, MN ZIP: 55359 <br /> Email and/or Fax marksworking@gmail.com <br /> Overall Project Description: Install retaining wall to allow flat area just outside the barn <br /> Check TYPE OF PERMIT E <br /> collected whenpermit 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 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 /> [Reference: City Code Sections 78-967. 78-1247 and 78-12861 <br /> Escrow for erosion control and engineering review costs ed by CUP <br /> Land Alteration, Minor(grading,filling or excavating)of 51 to 500 cubic yards beyond the a gi ering review costs <br /> X 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 0 <br /> Retaining Walls which exceed two feet in height above existing grade; or result inor $50+ ngineering review costs <br /> A) than 20 cubic yards of imported fill; or are located less than five feet from the property line. <br /> 1X 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 wa <br /> require a building permit. Tiered retaining walls are considered one wall unless the walls <br /> are se arated by twice the height of the lower wall. <br /> Stairway or Lifts to Lake(New or Replacement) [Reference: 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[Reference: Citv 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 78-1285 Pre-ins ection required. <br /> Temporary Construction OfficelTrailer associated with building permit $30 <br />