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ti <br /> Total Fee: $ DabeReceived: 5-/b -07 <br /> Entered By: <br /> CITY OF ORONO - BUILDING PER <br /> 1604 31stB�] <br /> All information must be submitted in full before plan review w� st�'t@t �r� r�oN <br /> (please print all inform"h n <br /> THE APPLICANT IS: (circle one) OWNE 7 —'"" ' lfifil <br /> JOB SITE ADDRESS, 740 Tonkawa Road ZIP: 55346 <br /> Will this be P de of Homes,'Remodelers Showcase Home or other Display Home?" <br /> F_1 Yes No Ifyes,a special event pgrmit is,required with Police Department and City Council approval <br /> 60 days prior to tjre event Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-sitb parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: Bruce Lea PHONE: (home) <br /> (Work),(612)701-2921 <br /> MAILING ADDRESS' 5095 cry rd 19 N CITY: MNTRSTA ZIP: 55346 <br /> CONTRACTOR: Great River Builders PHONE: (612}619-7080 <br /> CONTACT PERSON: Tim Robb MOBILE/PAGER: <br /> MAILING ADDRESS:' 6221 Hillside Road CITY: Edina ZIP: 55436 <br /> STATE LICENSE:.#- 20573172 , EXPIRATION°DATE• 03/3i/08 <br /> ARCHITECT/ENGINEER: Self PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NA1 REGISTRATION: # <br /> 1 ►titer(aJ &e-- <br /> TY] p, hxvc(C' Addition ✓ Accessory Structure` <br /> Remodel/Alteration(ie: Siding,Windows) <br /> 424-- movement may require MCWD review and permits! <br /> PR( detail): Appmx. 23'x14'deck that is to be built on lake side of house,7'10" <br /> abo� <br /> STORIES: SQ.FEET OF EACH FLOOR: 320 <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S 2,230.00 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. ----�' <br /> APPLICANT'S SIGNATURE: DATE: 05/08/07 <br /> 31 <br />