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� <br /> �E � � <br /> ' ' �' Clt�/ O� Ot"Ot10 <br /> Zoning Permit Ap lication <br /> ^ O . ` Mailing Address: <br /> Permit number: ��l�— (}� � / � <br /> �.L 1V PO Box 66 Date received: —o� lo — <br /> � Crystal Bay, MN 55323-0066 Escrow#and <br /> Street Address: amount: <br /> � �., 2750 Kelley Parkway Permit Fee: <br /> y�. ` Orono, MN 55356 <br /> !q �,�' Approved by: <br /> kFs 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 /> / '� - � /�� <br /> Job Site Address: �`/ V �� : c� --�-S ��T �,1�,� v r^`v �1 O ��7 .,�z�-� -�,�,:Lv► 121Ce. <br /> CONTRACTOR!APPLICANT [NFORMAT[ N: AZI��` a ^:; �<Z kt•'I Icv:r1-e:'" y;te. <br /> � . �.�:.: <br /> Name: �c� �l�l � �t S t� �c% '- <br /> Phone: Fax: <br /> Address: City: ZIP: <br /> Contact Person: Contact's phone number <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: � <br /> Name: �� Y`c�c, C�`C.�> ✓L n� ✓` �v i.tcz c� S:,�J�S'�� G��cz v`�ts �)� ►'1 Vt�''., <br /> Phone (day): � � " �g <br /> Mailing Address: r L :., � f� � � �-�;,' �' ' ZIP: .5 S _ C% <br /> Email and/or Fax f. �, -��, - ; -. � .;.�. , 1,4 1 <br /> Overall Project Descrip#ion: � i,� ���— <br /> �BaXk 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 ermanent dock re uires CUP <br /> Dock, Commercial $50+ engineering review costs <br /> Escrow for erosion control and en ineerin review costs $2,000 <br /> Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge <br /> Also re uired is a Minor or Ma�or Land Alteration Permit <br /> Land Alteration, Major(grading, filling, or excav�ting) more.500 cubic yar�s 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 bv 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 removal 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 />