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MAY 31,2005 20:02 000-000-00000 page 1 <br /> , 0 : City of Orono MR CITY USE ONLY p 7 <br /> ow P.O.Rini 66 Dere ttnuslved; -/ O o Permit b A(�O/ <br /> �., O\ 2750 Kelley Parkway <br /> 4i„_11;;... Crystal Day,MN 55323( <br /> `� <br /> l;l� (952)249-4600 // T3` <br /> Amount; S/ip2i C,U.P Idled: <br /> Approved By:�.G.--M.C. Site Plan: <br /> Recommends: A•• •val,► Denial • <br /> CITY OF ORONO-USER DEFINED/GENERAL PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> lob Site/Owner Information: <br /> Site Address: 1060 Tonkawa Road <br /> Owner: Lansing,Will 1060 Tonkawa Road <br /> Mailing Address: <br /> City: Orono <br /> Zip: 55356 <br /> Home Phone: N fA Alternate Phone: Rlex c'AQsdr...,Q GIZ•s50 loot. <br /> WAIE25TREET r-ioMES <br /> Contractor/Applicant Information: <br /> Contractor/App.: Bechler Landscape, Inc. Contact Person: Ken Bechier <br /> Address: 12850 Wayzata Blvd. State License#: <br /> City: Minnetonka Zip: 553 - <br /> 051945 Expiration Date: <br /> Phone: (952)933.9944 612-308-7870 <br /> Alternate Phone: <br /> TYPES OF USER DEFINED PERMITS - <br /> Z Stairway to Lake ❑ i.etainina Walk ❑ Temporary Railer <br /> General-User Defined Surcharge Gdncrnl-User Defined Surcharge General-User Defined <br /> •(Per UBC) Dv *(Per UBC) *$3000 <br /> 'Estimated Cost:S-N/()O 'Estimated Cost:S <br /> ❑ Oaks—42"or Greater ❑ Land Alteration ❑ Zoning Review <br /> General-User Defined Surcharge General-User Defined General User Defined <br /> ❑ Commercial—(Per UBC) 0 0-500 Cubic Yards aFor 0-75'Zone-530.00 <br /> *Estimated Cost:$ $50.00(Needs Site Plan) <br /> Cameral .User Defined ❑ 501+Cubic Yards <br /> ❑ Residential- $30.00 $50.00(Needs C.U.P.) <br /> ❑ Tree Removal <br /> General-Liter Defined D QAw l►.iv S u3 n,l I TTE p W fl n <br /> 'Within 0-75'-530.00 NES MFT.4ppL lCiscrok) <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 <br /> work will be in accordance with the approved plan. <br /> k„ d W q. 2 . 04, <br /> Applicant Date <br /> Reset Form aim Defined Pdemi,9rlea04) <br />