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m:Joe Brennan: BrennanPropertles LLC To:building permit(19522494616) 20:39 05117109GMT-04 Pg 02-03 <br /> City of 4ro.no <br /> B0114 g Berm lc A�p:pli a ion . <br /> ..... .. . ................. ..... <br /> Mall�ng Pet► <br /> S.. <br /> addre <br /> PO:Box <br /> 66 <br /> •.:_;;Met. .d,�°:;'`;>.s':' <br /> Crystal Bay,MN 55323-0066 <br /> dress: <br /> Street Ad <br /> a <br /> a <br /> yti 1 2750 Kelley Parkwaya....:. .:.. . <br /> Orono, <br /> MN <br /> 55356 <br /> 0 <br /> 2-249-4616 www.ci.orono.mn.us <br /> Main: 952-249-4600 Fax: 95 <br /> This;;apRlica#ipn#Qrm.:m.ust:be.completed:in full and al{required information.must:be submitted. <br /> Incomplete applic�atiiQns wtl1 he.r�eturned (Blease print) <br /> .;:'.GENERAII 1NF.ORMATION.. ... . <br /> 3785 Togo Road <br /> ;rY;ofaite;A.ddrees ..:... <br /> W lytr'is:b. a Parade of Home;;;:Remode.lers ShoWcase.Hpme.ar dtl prDisplay ? yeS ✓ No <br /> Jfyes,a:specialevQnr.paCmit:is.rflguired,vYlth:Polige:pepartmant;an d.Gity.cp9 nolepproval.60daysPitoc.t9the.event.:.Shtlttl�.:bus.seNicewillbe :: <br /> required.:unless:appliaant.demonstreleS.Su/fiCien .Non-Norwill notbe allowed. <br /> t on-site parking is available <br /> C.fJNTRACTQR.;I APPLICANT:IMFO.RMATION: <br /> .Brennan Properties LLC <br /> Expiration.Date: 3 <br /> Static.'.cense:#t..:.: 20381410 office) cell <br /> (612)616.4447 ( _—�_�'.' <br /> Fhane. City: Savaoe ZIP: 55378 <br /> Maling: d.dfSs:.::.:8452153r ace <br /> Cahtact'P:erion:. : Joe Brennan APp.licant.is:. :; ontractar: / Homeowner: <br /> ..all <br /> Contractor <br /> io :brennn Amchsi:com fax#952-856-5081 <br /> . . .. <br /> PROPERTY.;OWNER:;IN,FORI1(M►TION: <br /> Lori Gherardi <br /> 1612)§M- 228. .... Ci : Orono ZIP: 55356 <br /> 1Willow View rive <br /> �#d4 ress010":..:.. ..... ..d <br /> Ema►l:air)d(Of Fa3X.'::`"iorioherar iCalvahoo:com <br /> PROJ.EOT:INFORMATI.O.N: Any <br /> oveme. may. utr <br /> Qarth..tn.... ...:..nt. ..... <br /> Rraaect::: M WP review&'pew. <br /> rmits.. <br /> Doors (p Remodel <br /> Water Damage <br /> Minnehaha;.Creek:Watershed:District(MCVvt)): <br /> Storm Damage JQ3 .Q2 Minnetonka:Blvd.::.' <br /> . .. <br /> [] ndov�(s)... []Repair ❑ <br /> y .....;. . Dee phay...en;:MN;a.53.91. <br /> Restoration... O <br /> Other:(specify) Phone.. 952-x71.0590.:: <br /> PSiding::..: .::, .. .. F..ax:::9.52..4.7.1.-0682... <br /> Eire Damage www.minnehahacreek.ora <br /> :.: <br /> D.. <br /> Overall;Prcilecf'Qescrtption ;:sre lace 2 windows,new Hardi sidin on front of house <br /> Estlmated'C�nst�u�lon Valuation of Project(exclurlin fend $ fi,o0o:00 <br /> PLI.GA�IT ACKNOWLEDGEMENT. <br /> De Department; <br /> r tion.required <br /> .or requested by the.Building. p <br /> Agree .to pr.9vide,aJl into ma.,.:.. . .q .. <br /> is %su. lied..is._true and correct to the best:of his/nerknowledge. The.:applica.nt recognizes that.they.. <br /> C.ertiFies::that:th; :informat. n.....:.Pp........... <br /> are..solei ::;reaponslble.:for:; ubmittn.9.;a.;comRlete;.application being aware that,cpon#allure to do:sa,.the staff has no:altemst!.e.; <br /> Y . <br /> but to cejeetit unfit itis complete, <br /> . <br /> ..Somer::al.l.:of.the.:informatio..n:that:you:are asked to provide.on.this.applicaon.is..classified by State.law.as either private Dr <br /> ::. . <br /> o.,.;. ot;�e:giuen:to;.the.public.:qut.;can.be..giyen:to.the.subject.af.the. <br /> I <br /> ann <br /> cpnfderfhal;::::Private:data:is.:information.whic..:genera..y c..,........ <br /> data; Corifidsntiai.data <br /> is inform.ation::whichj;gene;lly:cannot;be.given.to:either.,khe.putalic::Q(:the.:su.bject.of th..e:data...::0ur:: <br /> purpos .,and.intended.use..gf;this.:information is to.:annually:update:our recxtrds and.;rscords of other governmental <br /> required.by:law. If:yau refuse to supply the information.;:the application:may not be issued. <br /> ..... Date: 05/16/09 <br /> Appjicant s.:SignaiuM <br /> Yar �� NW <br /> "'''a °r' 'icy zazs' <br />