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4 12i22i94 16:27 THE CITY OF ORONO b1G-�fJ-fJSf ��2 <br /> CTTY OF QROi70 - BIIILDING PERHIT APPLZCI�TION <br /> Date Received:/a - d 7 "�J� <br /> Tatal Fee: ��y ��/ �� <br /> Date Approved: <br /> , <br /> Entered By: �',/� , — Per•nit�: �,'�� G- <br /> AT•T• INFORM�ITION MDST BB S�KITTED ZN FLTI.L ��o� P� ��� ��' BB STARTED <br /> --------------------(See_Check_off_List_EncZosed)___-----------�----------- -- <br /> THE p,PPLICANT IS: (circ].c one) OWNER or CONTRACTO <br /> JOB SITE ADDRBSS: <br /> 460 Sussex Lane, Orono, MN ��p= 55356 <br /> (wo�k) <br /> PHOxE: (home) 475-0218 <br /> Nat� oF o�t8x: Ni na Wi 1 dman � <br /> C�Z.y: ��+� ZIP: 55,91 <br /> r1AILZNG AnDx�Ss: 745 Spri na Hi 11 Road �ds�X <br /> CON7.'RACTOR s <br /> Jensen Homes, Inc. PH��= ��5-054fi <br /> 2iAIL2NG ADDREsSs 601 Lakeshore Pkwv #122�� <br /> CITY:,MinnPtnnk� ZIP= ���n5 <br /> STA'1'� LICENSEz � 000-1156 <br /> AI2CgITECTfENGZNEER: Cradit & Associates pHo�= 379-4947 <br /> MAILZNG ADD�tEss: 67 Ei hth Avenue NE <br /> cZTY: Mi nneap0�i s zIP:��a� � - <br /> N�a James Cradit REGISTRP.TION � <br /> TYPE �F WORK: New X <br /> Additiion Acces�sory Structure Move • <br /> Demo Remodel/Altezation Aenovate Land Alteration <br /> PxoPos� Koxx {describe in detai.l? = New Home Const tio <br /> S�RIES:_,,,2 54- �T oF �� �pOR' Main: 2,698 Sq.Ft. Upper: 1,176 S .Ft. <br /> NO. OF BEnXOOt�S=_� t'�•�1GE STA7.LS- ATT. 3 DET. <br /> ESTZHA'�E� CONSTRUCTI�N vALIIATZON (eacluding lamd) x $ <br /> � hereby a.pp1Y for a building permit and I acl�noc�ledge that the infaxmation <br /> above is complete and �ccurate; that the �:ork vili be in eon£orm cOdet����athl <br /> ordinances and codes of the City and with the State Bui�-�1ng er��t� and <br /> understand this is not a pezmit and work is not to start without a p <br /> that the work will be in acco dance with the approved plan. ' <br /> APPLICANT'3 SZ�3ATff�S: � <br /> DATE s_/a-�� - 9'� - <br />