2008-00436 - stairway to lake - Laserfiche WebLink

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¢,0 City of Orono F% IT U E ONLY P.O.Box 66 Date Received: Permit 4V� �� 2750 Kelley Parkway �� g$`` Crystal 249 4600 Bay,MN 55323 Amount: $ Az (95_ �- a �S�.U.P Filed: $ego Approved By: &M, Site Plan: Recommends: Approval itDenial ❑ CITY OF ORONO - USER DEFINED/GENERAL PERMIT (All permits must be approved by the Building Official and/or Zoning Department) Job Site]Owner Informati6n Site Address: _ / LAI-1 *A o� Owner: �� 'Y �/G�/l� 1r'Zy Mailing Address: -5� City: L/C 0/L)V Zip: Home Phone: �' Z - ZSR ZJ 9 Z Alternate Phone: Contractor/Applicant Information.: Contractor/App.: Lipo�J6ontact Person: Address: c"3'11 Af State License#: City: Zip: S 3.< Expiration Date: �� 't Phone: �� ' 2 2 X11 O Alternate Phone: TYPES;OF USMDEFINED PERMITS 4Stairwav to Lake El Retaining Walls U Temporary Trailer General—User Defined Surcharge General—User Defined Surcharge General—User Defined * (Per UBC) * (Per UBC) * $30.00 *Estimated Cost: $_3,066�� i5 *Estimated Cost: $ GK ❑ 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 confo ce with the Ordinances and Codes of the City and with the State Building Code;that I understand thi t a permit and work is not to start without a permit;and that the work will be in accordance with the a plan. Applicant Date (User Defined Permit 3/18104)