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. City of Oronoq-64 <br /> Zoning Permit Application <br /> T <br /> Permit number: ,?D 13 - 00.569 <br /> - OA/ Mailing Address: 2 <br /> PO Box 66 Date received: e! j�p' 17 <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and e2600 r pi <br /> Street Address: amount: �J .�+ <br /> .:}..,01(E' <br /> 2750 Kelley Parkway Permit Fee: (404,54s 01 /00 ° 0 ,. <br /> Orono, MN 55356 jj f,�7 <br /> f C' Approved by: P`IN RN ' �V <br /> 'lkf s H 0‘0 Fax: 952-249-4616 �,1� / a ��y" <br /> Notes: 1hn;,.A���/►/w#i i NO I P/vi1 y c is c {)) <br /> Main: 952-249-4600 ' - - "-___ riY�""��'"'/J / L i <br /> This application form must be completed in full and all required information must be submitted. (Please print. <br /> Job Site Address: f330 Ot ZRY Ph4 <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: rLA1Q59tN) Dtr-aj <br /> Phone: qSZ 2.2v �c2O2 Fax: <br /> Address: 34/Z /074`/4✓¢. Gam, City: frJj22,6 M^/ ZIP: 54p] <br /> Contact Person: Contact's phone number <br /> Email a/4,4,5,2f/jii."—Aej, /46,3t/ Applicant is: ontracto Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: OA) Y4Ai <br /> Phone (day): <br /> Mailing Address: 1330 (11c.Qr y PkA.0 ZIP: <br /> Email and/or Fax / <br /> Overall Project Description: tliM.DWAbL ; <br /> CoJ(p� (, � .1 U �J-4 Z j ! AITt0�/tTntA)►de;. 4.1i14 <br /> Check TYPE OF PERMIT <br /> Box 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 erosion control and engineering review costs $2,000 <br /> "C/ Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge <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 /> r� 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. $50+ engineering review costs <br /> 0 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 costsOc9 <br /> $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 />