2004-P07592 - stairway to lake - Laserfiche WebLink

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Ci r1'of Orono FOR CITY USE ONLY Q Q\ P.O.Box 66 Date Received: /Y Cy Permit#vx,.. - j' 2750 Kelley Parkway >qt7 759 �l1''�+.' " Crystal Bay,MN 55323 �s (952)2494600 Amount: S 15� C.U.P Filed: Approved By: L� ' Site Plan: � Ib•c Recommends: Approval Denial ❑ CITY OF ORONO- USER DEFINED/GENERAL PERMIT (All permits must be approved by the Building Official and/or Zoning Department) Job Site/Owner Information: 7-7771 Site Address: �j Owner: gn'l�' /FKD Mailing Address: City: ©foyo Zip: Home Phone: Alternate Phone: Contractor/Applicant Information: Contractor/App.: Contact Person: � �1 Gfi� � �� so Address: �: VS_ IVWM� X 11A State License#: LIP-,WAVV/1 II City: / ►'/�� Zip: "� Expiration Date: Phone: 0 pew ' y. —, "zlo0 Alternate Phone: �� -%�'' TYPES OF USER`DEFINED`PERMITS �] Stairway to Lake ❑ Retaining Walls ❑ Temporary Trailer / General—User Defined Surcharge General—User Defined Surcharge General—User Defined *(Per UBC) ,�� *(Per UBC) *$30.00 *Estimated Cost:$J�__-�/y� I *Estimated Cost:$ ❑ Docks-42"or Greater ❑ Land Alteration ❑ Zoning Review General—User Defined Surcharge General—User Defined General—User Defined ❑ Commercial-(Per UBC) ❑ 0-500 Cubic Yards #For 0-75'Zone-$30.00 *Estimated Cost:$ $50.00(Needs Site Plan) General-User Defined ❑ 501+Cubic Yards ❑ Residential- $30.00 $50.00(Needs C.U.P.) ❑ Tree Removal General--User Defined • Within 0-75'-$30.00 I herby apply for a User Defined Permit and I acknowledge that the information above is complete and accurate;that the work will be in conformance with the Ordinances and Codes of the City and with the State Building Code; that I understand this is nar a permit and work is not to start without a permit; and that the 7z=r e approved plan. 'o - App cant Date Re$ F t"n'1 (User Defined Permit 3/1&01)