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vray vI ve vI Iv <br /> Zoning Permit Application <br /> Mailing Address: 'Permit number: ��/ 174— .� <br /> � / 77 <br /> IcLOAteN <br /> PO Box 66 Date received: 46-'-/T/ <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and of Q 0- N"'w <br /> Street Address: •)-0i4-c Flo amount: 2. OO 0 <br /> --ks4)RIL4' 2750 Kelley Parkway Permit Fee: If _ -v -00 C \l✓ L \ <br /> Orono, MN 55356 <br /> F<4 � ' Approved by: G•NI . 6.g. L•0 <br /> ''ES HO� Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 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: it55D VvOLVERTZ>N PL-hC OP--cN D1 MN 55 35c1 <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: 1JhTvpr1, ENvu?-cx MENTS Cc-P. <br /> Phone: i if '514 SoD2- Fax:-iUU -4-+S 2.,-/-0 7 <br /> Address: 11 ID D oUEit_PI-S DP-WE N 42-01P City:LiateN uA U r:'/ ZIP: 'SS42-2— <br /> Contact Person: T1✓- 9A-NDE12-S Contact's phone number 1t,P%3 4-4'2- (0Q5-1 <br /> Email tNFo®N\TvR LC-NV112-ONMmNTS CARP. CCM Applicant is: ontracto Homeowner (Circle one) <br /> PROPERTY OWNER INFORMATION: <br /> Name: 15121PRI '%Nil_l.C)C <br /> Phone (day): 'IAM q"), 9)42-to <br /> Mailing Address: zi55D w Iri..vER.- 'UN Pi-&cc 0 t2-ci' O, M N ZIP: 35c1 <br /> Email and/or Fax l(t V I N E A ��o t E ( y i-1w CCM <br /> Overall Project Description: .?p-vvt-W/c IN S1N�1-LPITCil <br /> Check TYPE OF PERMIT COST* <br /> Dock, Residential-Permanent dock on any lake or initial seasonal dock not on $50 + engineering review costs <br /> Lake Minnetonka (permanent dock requires CUP) <br /> Dock, Commercial $50+ engineering review costs <br /> Escrow for erosiond engineering review costs $2,000 <br /> / Hardcover Permit: riveway, Patio, Sidewalk, Etc. (New or Replacement) No charge <br /> V <br /> Also required is a Minor or Major Land Alteration Permit <br /> Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards or $50 <br /> more than 10 cubic yards in lakeshore setback (also requires CUP) <br /> Escrow for erosion control and engineering review costs As determined by CUP <br /> x/ <br /> Land Alteration, Minor(grading, filling or excavating)-500 or less cubic yards $50+ engineering review costs <br /> outside of lakeshore setback or less than 10 yards in lakeshore setback <br /> Escrow for erosion control and engineering review costs 2,000 <br /> Retaining Wall measuring under four feet require a zoning permit. engineering review costs <br /> Retaining walls measuring more than four feet(from bottom of footings to top of <br /> wall) require a building permit. (Tiered retaining walls are considered one wall <br /> unless the walls are separated by twice the height of the lower wall.) <br /> Escrow for erosion control and engineering review costs $2,500 <br /> Stairway to Lake (New or Replacement) $50+ engineering review costs <br /> Escrow for erosion control and engineering review costs $2,000 <br /> Structure Permit for other structures not requiring a building permit but $50+ engineering review costs <br /> regulated by the zoning code (including, but not limited to accessory building of <br /> less than 120 square feet, detached deck or platform and sport court) <br /> Escrow for erosion control and engineering review costs $2,500 <br /> Tree Removal or other vegetation removal in 0 to 75 foot zone No charge. <br /> Temporary Construction Office/Trailer (associated with building permit) $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: November 30,2012 <br />