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i <br /> � � � C1��/ 4� �1'�l"10 �(.�j�� <br /> �� <br /> Zoning Permit A plication <br /> ,\ <br /> ��� Mailing Address: <br /> Permit number G�O�'� — �d��� -—� <br /> O PO Box 66 Date received: o� -.3—/ <br /> Crystal Bay, MN 55323- 066 <br /> Escrow#and <br /> Street Address: amount: <br /> � >. 2750 Kelley Par w Permit Fee: � —t— �-�� �� �— <br /> y�. � Orono, MN 553 <br /> C �' `�� Approved by: � � <br /> q'�f S H��� Fax: 952-249-4616 � �\ Notes: <br /> Main: 952-249-4600 �� <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: / � <br /> CONTRACTOR/AP LICANT INFOR ATION: <br /> Name: {/ � C <br /> Phone: — � _ Fax: <br /> Address: Cit : � � ZIP� <br /> Contact Person: ContacYs phone number <br /> Email � �/ y� 1 Appiicant is: Contractor eowner �c���ie o�e� <br /> PROPERTY OWNE INFORMATION• <br /> Name: ,j � C�jli <br /> Phone (day): - <br /> Mailing Address: ZIP: " <br /> Email and/or Fax y` <br /> Overall Projec# Desc i tion: �� /��� � ' <br /> Check TYPE OF PERMlT <br /> Box COST* <br /> Dock, Residential —Permanent dock on any lake or initial seasonai dock not on $50 + engineering review costs <br /> Lake Minnetonka ermanent dock re uires CUP <br /> Dock, Commerciai $50+ engineering review costs <br /> Escrow for erosion control and en ineerin review costs $2,000 <br /> Nardcover Permit: Driveway, Patio, Sidewafk, Etc. (New or Replacement) fVo charge <br /> Also re uired is a Minor or Ma�or Land Alteration Permit <br /> Land Alteration, Major(grading, filling, or�xcavating) more .500 c��bic yards or $50 <br /> more than 10 cubic yards in lakeshore setback (also requires CUP) <br /> Escrow for erosion control and en ineerin review costs As determined b CUP <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 en ineerin review costs $2,000 <br /> Retaining Wall measuring under four feet require a zoning permit. $50+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 en ineerin 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 en ineerin review costs $2,500 <br /> Tree Removal or other ve etation remova! in 0 to 75 foot zone No char e. <br /> Tem ora Construction Office/Trailer associated with buildin ermit $30 <br /> (over) <br /> *Permit fee will be collected when the permit is issued. <br /> Updated: November 30,2012 <br />