2004-P07351 - stairway to lake - Laserfiche WebLink

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�'/�v�l l'� �L C��`�L:c-a� ct�� _i'_.';�t!C_�c,i (�K.._ ' ,¢�� City of Orono ,� FOR CITY USE ONLY O{ O P.O.Box 66 Date Received: Permit# � ��= �, 2750 Kelley Parkway � y'41�� C�ystal Bay,MN 55323 ^`� � mount: $��C.U.P Filed: ��' 'i�"�ylyY��y�` (952)249-4600 � L '� ��gpe tkl Approved By: Site Plan: Recommends: A roval � Denial ❑ CITY OF ORONO - USER DEFINED/GENERAL PERMIT (All peiniits must be approved by the Building Official and/or Zoning Department) `'Job Site/Owner Information: Site Address: � �*�� "a.�� t e-�Zc� Owner: Y�'lank (��,a,,11-�a.u�. MailingAddress: s•�.-�-- City: C�-� Zip: .�5��y Home Phone: Alternate Phone: Contractor/Applicant I�iforniation: Contractor/App.: �'_art r.�,c� �-,a�c� ��:.�^^`�ontact Person: ��rn S•m �-I-� Address: '��-S 3 ( �,.�,� �.-.��_ State License#: City: �:4�.�.� Zip: �S�`{ Expiration Date: Phone: �5.�- �7:�. a-I I I � Alternate Phone: TYPES OF USER DEFINED PERMITS Stairwav to Lake ❑ Retainin Walls ❑ Tem ora Trailer General—User Defined Surcharge General—User Defined Surcharge General—User Defined * (Per UBC) * (Per UBC) *$30.00 *Estimated Cost: $ �f�n•� *Estimated Cost: $ ❑ Docks—42"or Greater ❑ Land Alteration ❑ Zonin�Review General—User Defined Surcharge General—User Defined General—User Defined ❑ Commercial—(Per UBC) ❑ 0-500 Cubic Yards *For 0-75 Zone-$30.00 *Estimated Cost: $ $50.00(Needs Site Plan) General-User Defined ❑ 501+CublC Y3rds ❑ Residential- $30.00 $50.00(Needs C.U.P.) ❑ Tree Removal General—User Defined * Within 0-75' -$30.00 I herby apply for a User Defined Permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the Ordinances and Codes of the City and with the State Building Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be i rdance with Zl� approved plan. 3 3� - o y Applica t Date �� v�� cJ v'�� `�"L Z•o`�(�us«�n�s�a r�3iis�s�)