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, ` �i#y of Orono <br /> 2aning Permit A�plication <br /> -- _ __ --- <br /> _____._._____ _ <br /> ILlailing Address �'ermit number �!�/ e�.,—�3I b[.�-fo i <br /> — --- _._._ __�_ <br /> �,(�� PO Box 66 Date received �d —/ �P /Z <br /> rystal 8ay, MN 55:i23-0066 <br /> — ---------___�_._ <br /> 0 � Escrow#and <br /> �"' St�eef Address: amount �,��� <br /> + t �,�,���"��,` G, 2750 Kzlley Parkway Permit Fee <br /> ��� <br /> � �t, � Orono, MN 55356 � __..._..______. _ <br /> "9qEs�;�4ti Approved by. <br /> Fax 952-249-4618 Notes: <br /> Main 952-?49-4600 r v�.��a i ar�nt;,inn i�s � <br /> --- - — --. _ <br /> This application form must be completeci in full and all required information must be submiited. (Pte�se prcr�t.) <br /> Job Site Address: 1430 Che�ry PIaC� <br /> —......__�---__ �_ __ __...._ .__ .�_ <br /> CONTRACTOR J APPI.ICANT INFORMATION: <br /> Name _C.c?Il.��p�_L3����[Ilg_.__�_ . <br /> . - __—_. - <br /> Pha�e _952-�Z2-4��8.___..___�_..._�__._ Fax: �2_�7_2=4]1�_._. <br /> Address: _3253 P�i�stl�t�e _ _ _. _ ___- _ _City Mound _ ZIP: 55364 �� <br /> - --- --- ---- <br /> antact Person: _ ,Jj Smith r� Contact's phone number g52-472-4118 <br /> Email _y,y� pplicant is Contractnr� Homeowner <br /> �. �_����„",V_�,��_'•.�� ' - tCircic One) <br /> PROPERTY OWNER INFORMATION: <br /> �y`t-�'1(0,3" 5 � <br /> tvarr,e Chris Patnode: <br /> ____-- _ __-- -- ___- ------- --._.^------- <br /> Phone da _ _.___.--- ._..__--__.-------- <br /> ( Y) 763-350-8776 __ <br /> .__. _ _ <br /> _�_ __. <br /> ailing Address _1.43Q-Cherr _P_13C�: __ __.__ ___.._ __ ZIP:___���$�.._.--- <br /> Email and/or Fax C.�JatnOdE??�C��aOI,CQm._,. <br /> --- — --- _._ <br /> Overall Project Description: R�place_stairs to lake <br /> --- . —-- ---- -_ --. -- __.__- _ _--— _-- ._�.. <br /> - . <br /> �_ _. <br /> �goxk � TYPE aF PERMIT CUST'` <br /> _ —� -- ---- - _ . _.__. _. �-- ---- <br /> __ ___ -------- <br /> --- <br /> Dock, Residential- Pernianent dock on any iake or iniUal seasonal dock not on $5o +engineenng review costs <br /> �Lahe Minnetonka(permanent dock ret�uires CUP) <br /> _`.� ____ ____ _ _ __.-- --- -.__ ..__..�__�_..,_ <br /> --- <br /> � Dock, Commerc�ai $50+ engineering review costs <br /> _____�_Escrow for erosion control and �n�ineenn�_review,costs 52,U00 ' <br /> - -.- ----_.__._ _._.___m_....,.. <br /> i Driveway Permit(New or Replacetnent} No charge <br /> I Also requ�red �s a Minor or Ma�ar L�nd A�t�ration Permit <br /> � __ - � ----- �--- -�- -- �-- _--- -��-- --_.._ <br /> ____ _ _. ___ <br /> i Land Alteration, Major(grading, filling, c�r excavating) more SOQ cubic yards or $50 <br /> j more than 10 cubic yarcis m h�kesliure se#back (aiso requires CUP} <br /> ____�__Escrow for erosion_coRt�o�l and�en�intennr�review 9)t�00 or less cubic yards � A�`��termin�d by CUF� <br /> � ; Land Alteration, Minor radin filling or excavatin $50+engineenn� review costs <br /> ; outs�de of lakeshore setback or less th�n 10 yards m lakeshore setback ( <br /> g g � ---q iew costs 52,000 <br /> �� �Retainin Wali measunn under�our f�et re ui �m� � <br /> Escrow for erosio_n control and en u�eer�n rev__ __ <br /> __.. __ ___�.._.______...--- <br /> re a zoning permit $50+engine�rinq review costs ; <br /> i Retainmg walls measur�ng more than�our feet(from bottom of footings to top of ; <br /> I wail) reqinre a building permit (Tiereci retaining walls are considered one waA i <br /> ;� unless the walls are separated hy twice the height of the lower wall.) <br /> ; Escrow for erosion contiol and eng�neerinc�review costs _ _ _ $2,500 <br /> -__ ----- ----- ___ _ -__.___ __..----_---- <br /> i Stairway to Lake(New or Replacement) $50+��i�ineering review casts <br /> X _ '' Escrow for erosion control anc! enginEenng review costs $2,000 <br /> --__ — _-- --- -- ---- _ _ ____-------- _.-_ __ _-_�.._....- --_.-- <br /> Structure Permit for other structures not requinng a building permit but $50a•engineering review costs <br /> � regufated by the zon�ng code(induding, but not I�m�ted to accessory building of <br /> less than 120 square feet, detarhed deck or platform and sport court) <br /> Escrow for eros�an control and en�meerin�c review costs _ _ $2 500 <br /> , _ _�_. __-- --.. __ __ __ . __... ________. <br /> I �Tree Removal or other vegetat�on rernoval in 0 to 75 foot zone No char.r�e <br /> - <br /> __ . - - _.__ -- <br /> --- __.._. —. .....- <br /> (over) _. __..,-----_ <br /> *Permii fee wi11 be collected at <br /> the iime the permit is issued. <br /> uc�z3�P� ar�������:.2a,z <br />