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Cit: 1 :a <br /> Of P.Oyf <br /> y da <br /> �'.` Crystal Bay,MN 55323 Amount: : . ` <br /> C.U.P Filed: SCJ` <br /> �i._ ,`';' (952)249-4600 c, ,�' 1 <br /> LW <br /> /`` 1 l/V Approved By: O' Site Plan: V. <br /> ill L N ® pe....-Y-OA i‘.- is.Svel Recommends: Approval Q' Denial 0 <br /> p(A'r\ YtA i C ay,2, to..e Eancska d — no p igkin re ileo -C2_ ddue_ 1 u/p rm i - TLC). <br /> CITY OF ORONO - USER DEFINED/GENERAL PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> ,; '2 ' - x �x a ,'- €'' € <br /> - , _ . s. 1gdarct Narzan <br /> Site Address: 2 7 �S y\,\,,,,,,,,--e ZcJ <br /> 12D karttS ittrY. <br /> Owner: R--,:,C 40e-f7 <br /> City: ©f011 D 1201, N" " <br /> Home Phone: s7j. tail S, Wv\3J1 <br /> '( , a s . s . . e, t o e w , <br /> ak 3332-48' <br /> Contractor/App.: 1;e.(` One. t.Dc <br /> S .IPc <br /> Address: K2.AD ,s,diL Qoto.J- ` State License#: <br /> City: 3-05.n✓hay)-(- Zip: Mei'5.5Cn Expiration Date: <br /> Phone: (,l2 -313-36c3 Alternate Phone: <br /> :" } tom',$ 3 " qmilow" '° :a e D.' �. °'.®. l� �IT ... `" „r1,,., *a ; <br /> Er-.Stairway to Lake [v]"-Retaining Walls ❑ Temporary Trailer <br /> General-User Defined Surcharge General-User Defined Surcharge General-User Defined <br /> *(Per UBC) *(Per UBC) *$30.00 <br /> *Estimated Cost: $ YO 26 *Estimated Cost: $ 7000 <br /> Docks-One Time Non-Lake Mtka) [Land Alteration ❑ Zoning Review <br /> General-User Defined Surcharge General-User Defined General-User Defined <br /> ❑ Commercial-(Per UBC) ❑ 0-500 Cubic Yards *For 0-75'Zone-$30.00 <br /> *Estimated Cost: $ $50.00(Needs Site Plan) <br /> General-User Defined E501-+-Cubbic Yarhs M v (0 c..y i K 0--IS' <br /> E Residential- $30.00 $50.00(Needs C.U.P.) <br /> ❑ Tree Removal <br /> General-User Defined <br /> *Within 0-75' -$30.00 <br /> I herby apply for a User Defined Permit and I acknowledge that the information above is complete and <br /> accurate;that the work will be in conformance with the Ordinances and Codes of the City and with the State <br /> Building Code;that I understand this is not a permit and work is not to start without a permit;and that the work <br /> wil e in accordanc with e approved plan. <br /> . //0 <br /> scant to <br /> (Use Poosto . ) <br />