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City of Orono <br /> Building Permit Application <br /> for New Structures or Additions <br /> Mailing Box6ess: <br /> 6Permit number: c &°17 dt z'5 <br /> We <br /> O� Crystal Bay, MN 55323-0066 Date received: 1-1--//,02-// <br /> Street Address:' Received by: Q)/ /fir <br /> � 2750 Kelley Parkway , <br /> 9Orono, MN 55356 Plan review fee: • t 6 L( C }kESHOv- Main: 952-249-4600 Total Fee: t� f S <br /> Fax: 952-249-4616 www.ci.orono.mn.us /�] <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applications will be returned. (Please print) *t" <br /> GENERAL INFORMATION: /', kA <br /> Job Site Address: /0 cb W'/' D1-(a Rsr -VOiL- <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yeso <br /> If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will e <br /> required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: �P - 1 f t l-lrOO)3 /' S.;ucLA\ilt bb, is �-� <br /> State License # Expiration Date:: <br />