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� � 1 <br /> Zoning perm� —`` <br /> �t A lication <br /> �O� Mailing Address: <br /> PO Box 66 Per►nit number: <br /> 0 �rystal Bay,MN 55323-pp� Date received: � <br /> Street Address: Escrow#and <br /> � �,a, 2750 Kelley Parkway amount: <br /> 2 <br /> � G� Orono,MN 55356 Permit Fee: <br /> q'�f S H O��' Fax: 952-249-4g16 APProved by: <br /> Main: 952-249-qg00 Notes: <br /> www.ci.orono.mn.us <br /> This appiication form must be cpmpleted in full and all required information must be submitt <br /> Job Slte Address: ed• (P/ease print.) <br /> i " � _ <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: <br /> Phone: � /�O �c.. r"' <br /> Addfess: � �� ' .� Fax: <br /> �'�'��Vi f � � C� :�e i f!. IP: i <br /> �' Contact`s phone number ---� � <br /> Email �_/c�o/._� O� G� .*�C�si_�c� Applicant is: Contractor Homeown (Circle One) <br /> P(�OPERTY OWNER INFORMATION: �s �` ��� <br /> ,5��_.� <br /> Name� Z�P: <br /> Phone(day): <br /> M8111�9 Address: � r-��'".. FEE <br /> �'C: <br /> Email andlor Fax ���;, a- �u�c�Wne" e�m��5�Ssue <br /> �on, �Sc� <br /> Ove�aU Project Desc�p ��;p��,�ing rev►ev+ <br /> jYpE OF PERMI� � <br /> ing�view c.os <br /> Check <br /> Box ��Commerc.ial review <br /> E��for erosion�Pe°manentnd'ock on a�y lak �� _/_ /_ �� <br /> p�k, Residential — � ����CUP � l� ��� <br /> ertnanent dock P�'o���elk,e� <br /> Minnetonka �t;DrlvewaY, or Land A���� � � <br /> Hardcover P�m <br /> �� ulres is a M1nor or Ma filling, o� exc� � � /�� � <br /> r (9rading, r � n n ` <br /> ��� pltereiion, MO�° ack OR more than 50� _�� `,x � �UP <br /> beyond ihe lakeshore setb Z �9 fevieW�Sts <br /> (also requ�res Conditional Use Perm�l <br /> • � ineering review <br /> Escrow for erosion���''°��ading,9����9 or excavat <br /> ��p�t�etlon,Mlnor(9 ards or less withir 19�v'��S� <br /> OR 50 c�ubs 7 7 7 1 47 n <br /> lakeshore se�a� revie�n <br /> p n ineeri�9 <br /> E8Crow for erosion control and e�feet in height <br /> Retalnfng Wa��$Which exceed ted 1 <br /> than 20 cubic yards of impo������or are�� 1ew <br /> Escrow for e�rosic�nt��e�djg�9inq��9 <br /> �na'e►v. <br /> Reta1 tnn g�Ne11s`�'��measure more tnan�l,sfa <br /> require a building pe��t.Tiered refaining <br /> --..sactl 78-12$21 ' S5�+���COStS <br /> are se arated b tw9ce the hei ht�ofRe�We�j �w�� �,, 52.000 <br /> Stalrway or Utts to 1..eke(N� fQY1��sis � <br /> Escrow for erosion control and engineenng �irin a building pemtit but 550+��� <br /> Structure Permlt for other sVudures 200����n 8G�1 9 � �.� <br /> regulated by the zoning code � ` � <br /> Escrow for erosion control and en ineerin re�e��°S� I No charge. <br /> Tree Removel or other vegetetton removal within 75 feet of lakes � � <br /> � � � <br /> Tem ra Constructlon Offlce/freller assoc�ated with buildi� �� <br />