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, � • � A <br /> CITY OF ORONO <br /> BUILDING PERMIT APpi ���TION <br /> F C�'�_ (�..� �� )DITIONS <br /> s . <br /> �Q A TO � Permit number: / —�,.�7 <br /> <y <br /> �I ^ p��+��/� �`� �, Date received: ,�'r�/7/ <br /> �Y� �i �U� � �f �, <br /> � � � Received by: <br /> ��, G� � (� �,�•'1��� � Plan review fee: '� �7// <br /> `qxESH���' 020/�✓ --�D� 7 <br /> Total Fee:� <br /> Main: 952-249-4601 � (;;� � 1. 'L.-,(� <br /> This application f� `���'�y`��+---����� ormation must be submitted. <br /> ' p ) <br /> GENERAL INFORMATION: '�::.--�v� ��V�-- �'�� �_-- ase rint <br /> Job Site Address: �,�� �('� <br /> � � �- <br /> Will this be a Parade of Hom �,'�"'�r� `" isplay Home? ❑ Yes (�No <br /> If yes, a special event permit is requirec �rior to the event. Shutt/e bus servrce will be <br /> required unless applicant demonstrates will not be allowed. <br /> CONTRACTOR/APPLICANT 6�rvR1Y1H I lVN: <br /> Name: sgk'-�N'iV A l� pQ.OPS�8� <br /> State License# �p�;g�+� �� Expiration Date: �- Zy-j��+ <br /> Phone: cell office <br /> Mailing Address: � ��js� �fS,.f ��� r�,n ;G City: rl�� l�� ZIP: �'�7Z <br /> Contact Person: ���e g,,,�,.��,,c,�� Applicant is: Contractor / Homeowner �Circle One) <br /> Email and/or Fax: ,�pc', QY�r1 v►W�Z N /Vlr�s� . C�rh <br /> PROPERTY OWNER INFORMATION: <br /> Name: �ob;h G�r�r.s�r, <br /> Phone (day): �Z � Q�_jSg�� <br /> Address: �r1%S� �A�trr�es�� Q1. ��'c� City: Q-�y�� ZIP: <br /> Email and/or Fax 7 <br /> ARCHITECT/ENGINEE FORMATION: <br /> Name: <br /> Phone (day): <br /> Address: Cit : ZIP: <br /> Email and/or Fax: <br /> PROJECT INFORMATION: Description of pro�ect: ' R`��Y 8 �j 7.5 x� <br /> 1.Type of Project 2. Proposed �Jse 3. Structure Type �g �38�J';� <br /> � � �� ��e� <br /> ❑ New Construction �Singte Family with ❑ Residence (�G�� <br /> �Addition attached garage ❑ Garage/Accessoi .�5-7.53 <br /> Accessory Building ❑ Single Family with p Deck <br /> ❑ Relocation detached garage ❑ Office/Commercial ���,� ���`%���O, <br /> ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse <br /> ❑ Public ❑ Storage � �� <br /> **Any earth movement may also require ❑ Commercial � Other(specify) � <br /> MCWD review&permits. ❑ Industrial �a�v' �ir�4� t'JJCt <br /> Minnehaha Creek Watershed District(MCWD) ❑ Othef: (SpeCify) f�,�. <br /> 18202 Minnetonka Blvd �ri'� <br /> Deephaven,MN 55391 <br /> Phone: 952-471-0590 <br /> Fax: 952-471-0682 <br /> www.minnehahacreek.or <br /> Estimated Construction Valuation (excluding land) $ � � <br />