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�____.. *�
<br /> � �
<br /> � City of Oronr�
<br /> � Zc�n�ng Perrnrit A_ p�li_c�tion ,
<br /> '/ ,
<br /> Permitnumb..r. �D /7 �u __{
<br /> ���'�'� �ti7��rGr,y Address: /- � �
<br /> ���.�j �� PO Bcx 6s f Ua`,e received: �cU'�� .___�.�
<br /> � � � Crysta!Bay, fvl�l 55323-OC69 �screw#and � ��
<br /> ; `� amcunt: �� �
<br /> � I Street Ad�ress:
<br /> ' � � �, ; 2754 Kel�ey Par�c�N�y ` Permit Fee: � 1
<br /> ' ^ CJrono,b1N 55356
<br /> f' G�
<br /> � Approved by:
<br /> `�'rf S t i��'`� Fax: 952-249-4616 Notss: v- -�--- -
<br /> .�.,r,�.� _: ..-..,,_r.-, �-- .
<br /> P�lair:: 952-24�-46C0 .,� .. _ .. . _� _�....._ - I
<br /> This app(ication form mus`be compleEed in fuli and a!f required information must be submifted. (F'lease print.} �
<br /> R
<br /> Job Srte Addre�s: ��> � �)�C(�k,/� ��1 ��
<br /> CONTRAC7�R 1 A RL{�ANT 1NF i Ai'ION:
<br /> � ,� ,.. �`, � ,
<br /> Name: � ---- --�- ' I
<br /> Phone: �C ���.� Fax;
<br /> Addr�ss: :-��, ' , � " j " � Cit : rn n � ZIP:
<br /> Contact Person: `' � � � ^ U Contact's phone number
<br /> Emaii � �� r� � `���(' `'��''�Yj�PP�icant is: Contractor ffiomeo�{in�' �c��cie o�,e?
<br /> �'„ - __�
<br /> PROPERTY OWN�R INFO�RMATIO�I:
<br /> Name: ��N��
<br /> Pnone(day}: --
<br /> Mailing A�dress: Z�P:
<br /> Emall and/ar Fax ___..__ —
<br /> __._��,_
<br /> Overall Pro�ect Description: ����'��-11,� ���,�n.� �� i ii��'�s�.�����f��'r'� _ __ _
<br /> -----r----- -
<br /> Check TYPE OF PERM�7 'v GOST*
<br /> __8ox �
<br /> ! Dock, �esidpntiai-Permanent dock on any lake or initial saasonaf dock nat fln $50+engineerin�review costs
<br /> ; � Lake Minnetonka (permanent dock requires CUP}
<br /> I Dock, Commercial $54+engineering review costs
<br /> ' Escrow for erosion control and engineerirlg review costs �2,040
<br /> Hard�ovar Permit: Driveway, Patio,Sidewalk, Etc. (New or Reptacement) ; No charge
<br /> ! Also required is a Minor or Major Land Alteration Permit !
<br /> ���' Land AJteration, Ma'or radin fillin or exc�vatin more 500 cubic ards or $50
<br /> ! (9 9, 9, 9) Y �
<br /> rnore than 1U cubic yards in lakeshore se�back (also requires CUP)
<br /> Escrow for erosion control and en�neerinc� raview costs _____�Rs determined b CUP
<br /> - ----- --_____ ._.. __ ___.__
<br /> Land Alteratian, Minor{grading, flling or excavating)-500 or less cubic yards '; �50+enginearing review costs
<br /> i outside of lekeshore setback or less than 10 yards in lakeshore setback i
<br /> i Escraw for erosion control and engineerinc� review costs $2,000
<br /> Retaini�ig Wati rreasuring under four feet requira a zoning permit. $50+engineering review costs
<br /> I Retaining walls measuring more than four feet(from bottom of footings to top of �
<br /> wall} require a bui►ding permit. (Tiered retaining walfs are considered one avall ,
<br /> ! unless the walls are separated by twice the height of the low�r wall.} '
<br /> ' Escrow for erosion controi and engineerinc�revie�h�costs __ I �2,500
<br /> _._ ...
<br /> Stairway to Lake (New or Replacement) $50+engineering review costs
<br /> __ Escrow tor erosion c�n,rol and engineering revie��costs $2,000
<br /> -- _ _ .____...�_ _� ___ - --- --- ___
<br /> ' Structure Permit for other structures no±requiring a building parmit but 550+engineering review costs ;
<br /> ! regulated by the zoning code (including, but not l;mited to accassory�,uilding of '� i
<br /> less than 120 squ�re fee!, d�fached deck or piatform and sport court)
<br /> I Escrow for_erosior con!rol and engineering review cos:s ____ �2,500 _
<br /> Tree 4?emovaf or other vegetat,�on_removal in 0 to 75 foot zone No charge.
<br /> �� _,_ _ -- -- -- - - _ __
<br /> -- _ _ �
<br /> L 1_Temporary Cons#ruciion OfficelTrailer (assoaated with bu�ldin� permit _ _1 �30
<br /> ,. _ _ _._- ---__ _...___ _ _._ ____-
<br /> (over}
<br /> *Permit fee will be coliected when ihe permit is rssued.
<br /> UpJated: November 30,7._012
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