Laserfiche WebLink
� � ���� �� o���� <br /> � � C�MQ��flI�� pl�l�l�ilfl`��l�l���c�/a�Q�G� � D �.�.7 � <br /> ?`j � <br /> 1��G� I1�C��`V(l��l�`��1�[�� �� ° �I�➢�f��GO�I� . <br /> ',��j�•.•. � MailingAddress: :.,:,>.::. :;�:=�:.:•�:.<,:•:�:<,.,,,; <br /> PO Box66 �`P;e:rir�it'numb'e'r.'`t�"x>� �; <br /> :�_, ,.<;..<; ;';'�'•-.,.,,.., :.A��:���..,:�:�'". <br /> Crystal Bay,MN 65323-0066 ::fDate�received;.� , :•�� f� . • <br /> StreetAddress;`, � �"Received;by;�� " (,(�/1�� ' � <br /> '�.: : _� �,�. . 2750 Kelley Parkway ' ''::;,'.::'•,... � _. <br /> � � ��.'= G c;Plan:re'view•,fee:= • .�; . . <br /> ��;�°i 5�,� �` orono,MN 55356 <�:<;r�:; . ; � � ' 7�--.CiI Z,3 f ' <br /> �E' Q4' , r <br /> • :;Totaf Fee:. • -� <br /> Main: 952 249,4600 � Fax: 9b2-249-4616 www.ci.orono.mn.us ;;,';;°.;: " • ... � •:.,������j-�'y,�2�5/ ���,� <br /> This�appli"cafion�form�musf.be'compfeted:in;.full;a"n'tl'all:require�d�information:mu"st':be:subrriitted: `� <br /> Incomplete'applicafiions:'vui111ba�returneci3 (Please print) ' � Y"- <br /> c������.��F���rA�rro�: <br /> Job S�teAdc9re�s: . 7�� �`���,�A� �KK�v..� <br /> Will fhis be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes ❑IVo <br /> If yes,a special event permif is requirad wifh Police Depa�tment and City Council approval 60 days pnor fo the event. Shuttle bus seivice wi116e <br /> reguired unless applicant demonstrafes sufficient on-sife parking is available. Non permifted events v✓i!1 notbe al/awed. ' <br /> CO1�T'RAC70R/APPLICA�IT IIVFORMATIOIV: <br /> Name: �JOoa���t.�. gv�L��.S . <br /> Sfafe License# BGDOZ92(o Expiration Date: 3-31- �� � <br /> Phone: {cell) . (o�ce) q52-345�0543 <br /> Maifing Address: F GtRGt,�D vE ra� Da Cit : Z1P: g <br /> ContactPerson: Applicantis: o tractor Homeowner (CircleOne) <br /> Email attd/or Fax: nn;vv�u��� r.vae o � u� �c .Go nr� <br /> � v � <br /> � PROPERTY OWIVER 11VFDRMA7ION. � � <br /> ' Name: Sp�r,C � <br /> Phone (day): • <br /> Address: Citv' ZIP• <br /> Emai1 and/or Fax <br /> ARCHITECT/EPVGIIVEER IMFORMATION: <br /> Name: _�M E <br /> Phone(day): <br /> Address: — _ --- Cif : �IP• � <br /> Finail arid/or Fax: <br /> PR�JECT 1NFORMA7IQN: Descrl fion of ro'ec�: <br /> 1.Type of Projecf " 2.Proposed Use 3.Strucfure Type 4.Sewage Disposa(& <br /> �A` Wafer Supply <br /> ew Construction 0 Sin Ie Famil with <br /> �i� 9 Y �Residence <br /> 1]Addition affached garage ❑Garage/Accessory Bldg. �"Public Sewer <br /> ❑Accessory Building ❑ Si.ngle Family with J]Deck <br /> ❑Relocation defached garage ❑Office/Commercial <br /> ❑Other:(specifiy) ❑Private Sewer <br /> �Multiple Family/Condo ❑Warehouse <br /> ❑Public (]Sfbrage �'Public Water <br /> —��1ny ea�rnovernen�may a;so�eyui�e ❑Comm�rciaf ❑Ofher(specify) <br /> MCWD review&permits. ❑lndustrial = <br /> Minnehaha Creek Watershed Disfricf(MCWD) ❑Other:(specify) ❑Private Well <br /> �82D2 Minnetonka Blvd - <br /> lSeephaven,MN 35391 <br /> Phone: 952-479-0590 . � <br /> Fax 952-471-0682 <br /> www.minnehahacreek.or • <br /> Estimated Cdnsfruction Valuation (excluding land) � � ��Q� D(�(� � - <br />