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08-26-14; 10:36AM; ; # 21 4 <br /> , City af Orono <br /> , � �' Zonen� Perc�it A lic�ti�r� <br /> � i!1 Address: Fermlt number: =Z o 1 `�—�� �o f� <br /> �0 � O Box 66 Date received: J.�; I (,W� <br /> �� Cryslal Bay,MN 55323-0066 <br /> �scrow'A and <br /> Slrvvl Address: <br /> amount: ��, . �- . � ao t�l-oo�j!o / <br /> � �a, 2750 Kelley Pa�kway Permit Fee: �50. � <br /> � Orono,MN 55356 <br /> �� �c,�, AOD�oved bY' <br /> �kESHOa` Fax: 952-249-4616 n�otes: <br /> Mein: 952-249-4600 `-':�>�`��'`•.�;�urcmu.rnn.ua. <br /> . . . . . .. <br /> This_applic.ationfo►m..must_be.completed,in:fiill and.aU,r,equiretl;information.must:be,su:timitted.(P�ease.print) <br /> Job Site Address: ��,� Li'lS(G �brr11' ���,�,��,� �VZ: nOr ��� �Jr��1 � <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: ' ( I ' <br /> Phone: Z � Fax: T,Z 41 1 � t 1 � <br /> Address: � Cil : �, 'ri o Z1P: 553� <br /> Coniact Person; ��►-� �..�O�i,�1 t�l�1 GontacYs phone number q�2 �4�-1�O T�S <br /> �maii p►N��1•�1 d� NA 2;;nF��-11e'�rApplicant is� �Contractor Homeowner �c�ra.one> <br /> PROPERTY OWNER INFORMATION: <br /> Name: ,��J �F S►,�t��'r �` �l f2 �L��L.. <br /> Phone(day): — '� 1 � G I <br /> Mailing Address: . Ca i n ' O ' ` _ZIP: ,�'jS� � <br /> Email and/or Fax �� �r,yc.tFr� I;J2 •to+�*� <br /> Overall Project Description: Qa-�-r-,n; ,x��11,( �' '�p:S �Y�io(liC�/Iv�GA'Y�. <br /> �BoXk TYPE OF PERMIT COST� <br /> Deak,Commercial $50+engineering review cosls <br /> Escrow for erosion cbntrol and e ineerin review costs $2.000 <br /> Dock, Residential—Permanent dock on any lake or i�itial seasonal dock not $SO+engin�ering review costs <br /> o�Lake Minnetonka rmanent dock r uires CUP <br /> Hardcover Permit: Driveway,Patio,Sldewalk,Etc.(Now or Replacement) No charge <br /> �( Also requiros is a Minor or Major <br /> land Alteration Perm{t <br /> Land Alte�ation, Major(grading, fitling,or excavaiing)more 500 cubic yards $SO <br /> or more tha� 10 cubic yards in lakeshore setback(also requires CUP) <br /> Escrow for erosion control and en ineerin review costs As deterrnined b CUP <br /> l.and Alteration,Mino�(grading,filling o�excavating)—500 or less cubic 550+engineering review costs <br /> �( yards 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. $S0+englneering roviow costs <br /> Retaining walls measuring more than four teet(trom bottom of footings to top <br /> of wall)requlre a building permlt. (fiored retaining walls are considered one <br /> '�( wall unless the walls are separated by twice the height of the Iowe�wall.) <br /> Escrow tor erQsion control and en ineerin review costs �2 500 <br /> �v Stairway or Lifts to Lako(New or Replacement) a50+engineering review cosis <br /> /� Escrow tor erosion control and engineering review cosls $2,000 <br /> Structure Permk for other structures not requiring a building permit but �50+engineering review costs <br /> regu{ated by the zoning code(including,but not timited to accessory building <br /> of less than 120 square feet,detached deck or platform and sport court) <br /> �scrow for erosion control and en ineerin review costs 52.500 <br /> Tree Removal or other v etation removal in 0 to 75 toot zone No cha e.Prains ection ro uired <br /> Tem ra Constructto� OfficefTrailer associated wfth buildin ermit �30 <br /> (over) <br /> *Permit feo wlll bo collected when the permit is issued. <br /> Up�bted: Jarivary 2074 <br />