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. City of C�rono .��� <br /> Zoning Permit Application 50� <br /> , Mailing Address: Permit number: �v�� - � � �✓� <br /> ,,;�:¢,0,�.�::� PO Box 66 /D D� /O <br /> �� Crystal Bay, MN 55323-0066 Date received: <br /> ' 0 � 0 ��, <br /> �° Escrow amournt: U�• � <br /> ��,� ,r� ;� �,'; Street Address: .�`�C��,�,' ���iG_ c�,fa t�j/� <br /> \'�,�, ,�� � Gti 2750 Kelley ParkwaY Permit ee: <br /> �����o��v,� Orono, MN 55356 <br /> �-- - Received by: <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. (Please print) <br /> GENERAL INFORMATIO � <br /> Job Site Address: ` <br /> CONTRACTOR/APPLIC T I�N�F RMA ION: <br /> Name: �y " ` <br /> � <br /> Phone: Fax: <br /> Address: r —' �` Cit :�'T ZIP: <br /> Contact Person: �- Contact's p on number ` <br /> Email �, � � �� , w Applicant is�Contractor ❑ Homeowner (CirdeOne) <br /> PROPERTY OWNER INF RMATION: <br /> Name: `� � �. <br /> Phone (day): <br /> Mailing Address: ` '°' ZIP: <br /> Email and/or Fax <br /> Overall Project Description: � <br /> Check TYPE OF PERMIT COST <br /> Box <br /> ❑ Residential Dock— Permanent dock on any lake or initial seasonal dock not on $30 + engineering review <br /> Lake Minnetonka ermanent dock re uires CUP costs <br /> ❑ Commercial Dock $50+ engineering review <br /> costs <br /> scrow for erosion controt and en ineerin review costs $2,000 <br /> Minor Land Alteration (grading, filling or excavating) —500 or less cubic yards $50+ engineering review <br /> outside of lakeshore setback or less than 10 yards in lakeshore setback costs <br /> Escrow for erosion control and en ineerin review costs $2,000 <br /> ❑ Major Land Alteration (grading, filling, or excavating) more 500 cubic yards or $30 <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 /> ❑ Stairway to Lake $50+ engineering review <br /> costs <br /> Escrow for erosion control and en ineerin review costs $2,000 <br /> Retaining Wall not requiring a building permit (A building permit is required for any $50+ engineering review <br /> ❑ retaining wall that measures more than four feet from bottom of footings to top of costs <br /> wa�l. Tiered retaining walls are considered one wall unless the walls are separated <br /> by twice the height of the lower wall.) <br /> Escrow for erosion control and en ineerin review costs $2,500 <br /> Tree Removal or intensive ve etation removal in 0 to 75 foot zone No char e. <br /> Structure Permit for other structures not requiring a building permit but regulated $50+ engineering review <br /> ❑ by the zoning code (including, but not limited to accessory building of less than 120 costs <br /> square feet, detached deck or platform and sport court) <br /> Escrow for erosion control and en ineerin review costs $2,500 <br /> (over) <br />