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� Ci#y of �ronq <br /> Zaning Permit A ticat�on <br /> Msi�ing Addres� Permit number. � � "v b,3�O S <br /> �,��.� PO Box 66 Date received: J�— - f �-- <br /> Crystal Bay,MN 55323-0066 <br /> t � � Escrow#and <br /> �C ti} � Strset Add�ess: amount; <br /> �'�, � �=� � 2750 Kelley Parkway Parmil Fee: <br /> �' �,� Orono,fJIN 55356 <br /> ��'SIiOSL4' Appraved 6y: <br /> �--�_�' Fax: 952-2�49-4618 No�: <br /> Main' 952-249-0604 �'"^�+-ci.orono.mn,us <br /> This application form must be completed in fup and all required information must be submitted. (P�ease print.) <br /> Job Sita Add ress: 3� o� P S f � ,�y�j � � � �r^� <br /> CONTRACTOR!AP_,I,.JCAN7 INFORMATtON:. <br /> N ame: � P.��} 1/_�yR NN��p vF} <br /> Phone: � �J�-�},�E - ��j 3 Fax: /v <br /> _ '�t�'.:�� <br /> Address: �• S• Cit ; .s.1� ZIP: � 5. � <br /> Contact Person: iv � ; fJ,v�+.. ontact's phone number � , � �c - - <br /> Email ' t7V� !, Cc�-�pp��cant is: Contractor Homeowner {CircleOns) <br /> PROPERTY OWNER INEORMATIOH: <br /> Name_ = �N t�VS Y/�i+l�� 1�JV/� <br /> Phone(daY7: � c h � �v i S �_��/� .✓a �2- - �{�• _ <br /> Mailing Address: Q S1 -- 5C; ZIP; - ;� .� <br /> Email andlor Fax Ov nJ C�A;f. ` :�i L� �} Z�fi z a,� ,, <br /> Overall Project Description: �: �DLs��.. C�����✓�'�2c=- � ' .�:� C'.Xis���lr_., y v��•rJ� <br /> �G�'t N✓��t� h c-.' - - �._� — <br /> � CI��S� .�GilE' r�-t�t� .SG'�C ,/2/�•v <br /> Soxk TYPE OF P�RMIT COST* <br /> Dock,Residential—Permanent dock on any lake or initial seasonal dock nat 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 $2,400 <br /> � �ewa ermit(IVew eplacemer�t No charge <br /> so re uired is a Minor ar Ma'or and Alteration Permit <br /> Land Afteration, Major(grading,filling, or excavating) more 500 cubic yards or $5d <br /> more than 1 p cubic yards in lakeshore setback (also requires CUP) <br /> Escrow for erosion control and en ineerin review costs As determiner!b CUP <br /> XLand Alteratlan, Mi�or�grading,filling or excavating)—500 or less cubic yards $50+engineering review costs <br /> autside of lakeshore setback ar less than 10 yards in lakeshore setback <br /> Escrow for erosion control and en ineerin review r,osts S2,U00 <br /> Retaining Wall measuring under four feet require a zoning permit, 550�engineering review costs <br /> Retaining walls measuring mp�lhan four feet(from bottam of footings to tvp of <br /> wa�[)require a bui[ding permit. (Tisr�ed 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 /> Stalrway to Lake(New or Replacement) �50+engineering review costs <br /> Escraw for erosion cantrol and en ineenng review costs $2,Opp <br /> Structure Pormit for other slructures not requiring a building permit but SSb+engineering review costs <br /> regulated bythe zoning code(including, but not limited io accessory building of <br /> less than 120 square feei,detached deck or platForm and sport courtS <br /> Escrow for erosion control and en ineerin review costs $2,500 <br /> Tree Remo�al or othor vegotatfon removal in 0 to 75 foot zane No�har e, <br /> {aver) <br /> *Permlt fee will be cofl@cted at <br /> the tlme the permtt�s Iss�ed. <br /> updated: Fy,ri�z3,2o�z <br />