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, � o� <br /> �,���� City of Orono � FOR C:I"FY USE ONLY p <br /> t Q O� P O.Box 66 � Date Received �-la_�Permit#�b 9�C! �g�j/ <br /> � �t � �i 2750 Kelley Parkway <br /> {� ���'- �� Crystal Bay,MN 5�323 <br /> � v *���y� (952)249-4600 <br /> Ofl <br /> � <.�_,�, � Amount $ 9��- GU.PFiled: <br /> �i <br /> Approved By: � Site Plan: <br /> Recommends: A roval Denial ❑ <br /> F� A/ �n�t� w6i�a-�✓ •?� <br /> CITY OF ORONO - USER DEFINED/GENERAL PERMI'� <br /> (nll permits must be approved by the Building Official and/or Zoning Departrnent) <br /> � J bo Site/Owner.��formation: <br /> Site Address: 60 Smith Avenue <br /> Owner: Tj Bonnett <br /> City: Orono U-��� <br /> I� . _ _......_..�._. <br /> __.. <br /> � -"` �� 1 _ <br /> (612) 382-7900 �'� r ' �"` <br /> Home Phone: �,� .��/�,u �- �� � ) — <br /> � n_ <br /> � <br /> __ .41P� ��a � � _�_..._S ciJ �- <br /> ConCracCor/Applicant Tnform� s- - -- __ �"�°"L�.� <br /> _-_ _ __--- _ _ . <br /> S c1��P�,.) � _..._�..__..�.. t��C f-CL.�( � <br /> Homeowner /. , „ t_ J_ __- �._�}„JQ.._. <br /> Contractor/App.:_ ��� C�� T� <br /> _._.._._�. <br /> ' '''--- <br /> -,.,._...,.. G� .j . <br /> Address: � ��C_�l�� <br /> ��� -�1j ,� � '----�--_ <br /> C ity: �c y !�/I GYV U ����''oC. <br /> � <br /> _ - <br /> _._ <br /> _. <br /> __.___. <br /> � ��, <br /> Phone: ( _ � .__,�,.�'iy��_-�_.' � <br /> 1�(f � Vv�d►-�`v� _ �i <br /> � ���c'����oti� � <br /> ___._ <br /> � =�`k'e=�,--�=:�� �t�����-- <br /> _ .__.__ <br /> ❑ Stairway to Lake ��' ��,,( � o,( �� �� Trailer <br /> Generaa Use�efi�ed Surchaz ��V —�'���--�,[/�� '-..�_� �efined <br /> *(Per UBC) <br /> �,.__._._.. <br /> ---�. <br /> *Estimated Cost: $ � � ` •-- . <br /> - �1�'7-_ � . . __ <br /> �. .,-_�... <br /> ❑ DRcks-42" gr Grea�t ( v /�� �� /,3pN .eview <br /> GeneraQ UseUDefined Surc] �'�L� � � �j� —�-�_��O e�efined <br /> ❑ Commercial-(Per A e d Zone-$30.00 <br /> -. / <br /> * Estimated Cost: $ `�- � ,�c/f(� �-,- �O,- ��d / <br /> _ �o <br /> Gene�User Defined A�, � �Q���� <br /> ❑ Residential- �3( /'�� P/Ll� ,� ,.� f � <br /> r. �^ " <br /> __._ lff f� � <br /> ❑ Tree Removal CQ�C'�,� �r --_-_ �— <br /> GeneraQ Use�efined � , <br /> *WiVt3tt 0-75' -$30.00 <br /> I herby apply for a r ser a efined Permit and I acknowledge that the information above is complete and <br /> accurate;that the work will be in conformance with the Ordinances and Codes of the City and with the State <br /> Building Code; that I understand this is not a permit and work is not to start without a permit; and that the <br /> work will be in accordance with ved plan. <br /> r �-- Cp � D <br /> Applicant a ate <br /> Reset Form ���'��`�"�'°' <br />