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r� r ' V ity of O ro n o
<br /> � Zoning Permi# Application
<br /> �O� Mailing Address:
<br /> Permit number: ��/3 —O /p �2._.
<br /> PO Box 66 Date received: 1 C� -'� — �3
<br /> � Crystal Bay, MN 55323-0066
<br /> Escrow#and
<br /> Street Address: amount: N �
<br /> -� �. 2750 Kelley Parkway Permit Fee: ��
<br /> y�c. � Orono, MN 55356
<br /> ! �' Approved by:
<br /> �'�ES H o�� 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 /> Job Site Address:
<br /> CONTRACTOR/APPLICANT INFORMATION:
<br /> Name: �c�,�,l/��CSL, l��',�v.Q�L,
<br /> Phone: (�1 Z — '�'�o— Z3`C b Fax:
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<br /> Address: / 20 ��.hS mw.�- �2..�. . Citv: neR,n_e� ZIP: 3q �
<br /> Contact Person: ��a.nr 1 olnvuo �., ContacYs phone number F,�Z � �-{ � �qp�
<br /> Emaii P�e,�� �n��..�.� ���hz� N Applicant is: Contractor —�IAR'�E9V1FR2f (Circle One)
<br /> c�v�. �b��1
<br /> PROPERTY OWNER INFORMATION:
<br /> Name: � m„ut���¢.. (,,�C�
<br /> Phone (day): � �2. — �13 v —� � O
<br /> Mailing Address: I 2 b �nv, n�r�,c� ZIP:
<br /> Email and/or Fax o c�. �--�..� ".,Soh •
<br /> Overall Project Des�(ription• �p,�,,,,a t �, ��,Q,n� �r..,,4,"�c¢,QQ C�, ac�.c�
<br /> s�c�..��Ld� a r.�.3t. C /O �a �� ,
<br /> Check TYPE OF PERMlT
<br /> Sox 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 Aiteration Permit
<br /> Land Alteration, Major(grading, filling, or exc�v�#ing) more 5�0 c��bic 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 b 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 buildir. ermit $30
<br /> (over)
<br /> I *Permit fee wilf be collected when the permit is issued.
<br /> Updated: November 30,2012 � A p�,C,,,�' GJZ(� /L•.e7� �.Q�y�-Fs �r-e �-Q� mZ- �j c.w�,Q,�
<br /> a�. ac��acs�.� �''`c��"1 C�y 2 o i?�o I�+ti..s �}'�-� u�.��1-a�.—t1..�
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