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2012 - 00596 - pool in ground
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1050 Willow View Dr - 28-118-23-41-0011
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2012 - 00596 - pool in ground
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Last modified
8/22/2023 4:25:06 PM
Creation date
2/19/2020 8:09:28 AM
Metadata
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x Address Old
House Number
1050
Street Name
Willow View
Street Type
Drive
Address
1050 Willow View Drive
Document Type
Permits/Inspections
PIN
2811823410011
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... _7 <br /> City of Orono <br /> BuildingPermit Applicatio 469. ° ,� t, <br /> pp Cr- i 2 <br /> for a Swimming Pool <br /> Mailing Address: Permit number: c),,,,......„0,—e. <br /> ,,..-4- , PO Box 66 40.- 5-/ <br /> 5 J <br /> O Crystal Bay, MN 55323-0066 Date received: <br /> Received by: "J <br /> ao. �.��� a, Street Address: ,/ <br /> ''.1. 'ii ii••1 �otiti 2750 Kelley Parkway Plan review fee: p?g Cf•`7�/ <br /> L9kzslic� Orono, MN 55356 a/ _no,C-9.6 <br /> Totalee: <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 12 cr -root Wu'O /n/ 2CI1---00111 <br /> This application form must be completed in full and all required info atio must be submit ed.e=,S�,.Iimi-?,.0(2- <br /> Incomplete applications will be returned. (Please print) (Loce)131A oo Z0 <br /> GENERAL INFORMATION: <br /> Job Site Address: 0�So (,��� Flo� U � �t,v b R ` <br /> ;` sae-- <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> S P <br /> Name: R_ *oLS LXC <br /> State License# Ai//7- Expiration Date: <br /> Phone: 7&3 - 68c)— u 3 q3 Fax: `7(v3 — g>E3 —v t t9r <br /> Address: ((o c Circ 4vevi- ,, v ,ti w it City: ZIP: b S-, 5' <br /> Contact Person: Contact's phone nu '- <br /> Email C (Cif (p ,x_é e S. 3 3 uj Applicant is: Contract Homeowner (circle One) <br /> PROPERTY OWNER INFORM)7kTION: <br /> Name: (9 Lt, ki tC_k /L ) CX I/QSh ) <br /> Phone (day): 7 S — ct7 6 --.7c,D. , <br /> Mailing Address: /o s d L'i`ham (J tz't DR „i 4 ZIP: <br /> Email and/or Fax QMtUr-i.(Anl0cIOt.001, <br /> ENGINEER INFORMATION: <br /> Name: ,V .,..1- t v 47 Ad c if . 1. <br /> Phone: <br /> Address: City: ZIP: <br /> Email Fax: <br /> PROJECT INFORMATION: <br /> 1. Pool Dimensions: 4.Accessory to: 5. Pool Type: 6. Sewage Disposal & <br /> t Water Supply <br /> ` X feet ❑Above ground <br /> ot Single Family <br /> 05,Public Sewer <br /> 2. Heated? 0 Multiple Family/Condo '34n-ground <br /> [ yes 0 no <br /> 0 Public 0 Private Sewer <br /> 0 Other(specify) <br /> 3. Excavated materials will be: 0 Commercial [;Public Water <br /> ❑ removed from site ❑ Industrial 6. Retaining Walls? 0 Private Well <br /> used on site <br /> El Other:(specify) <br /> dyes 0n <br /> ❑ Other:(specify) nt i/ <br /> Height 0 <br /> I ED Total Cubic Yards <br /> Estimated Construction Valuation $ a- -7( ,S D <br /> Last Updated: 10/28/2010 <br /> - 7 - <br />
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