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FROM :CONCEPT LANDSCAPING FAX N0. :952 472 4119 Jul. 22 2004 11:30AM P6
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<br /> C1TY OF ORONO-USER DEFINED/GENERAL PERMIT
<br /> (All permitq rnuyl bu ap�uvved by the Rullclinb UfF'icial muilrn Zoning bep�mnant)
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<br /> SiUe Address: 1�a0 BRACKETS POINT ROAD
<br /> ���.: BERBY HANNAPORD �[g��Aad�sB:
<br /> City: ORONO Z�: 55991
<br /> Homes Phone: 473A6T7 Alternate Phone:
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<br /> Contractor/App.: CONCEPT LANDSCAPIN(3 C��p�son: JIM SMI7"N
<br /> Address: 31g3 PRIEST LANE State Licens�#:
<br /> C��: MOUNO Z�p; 5�964 Expi�ration Date: �
<br /> Phone: (e5�47�-�118 Alternat�Phone;
<br /> � '7i:i��j';�::i��W`g?7���k;��:i':'r�;:<`r';�C"�",�y^.;y;';�'q;?;��>�'��}:yi���
<br /> :'ii..:':.,'.,..",.`�,�K�': 1 �����.A
<br /> ❑ Stairway to Lake ❑ �.etainin�Welle ❑ Tep�Q�1CX rsil�r
<br /> Generai—Uoor Deflreod Sw�chatge Gaunl—Uenr po�lnmd SmCAet�o Genaal—Usnr 1�tltitwd
<br /> t(Per[JDC) �"(Per U'BG� �530.00
<br /> �Lstla�abed Canl:S "Estlmated Cn�t:�
<br /> ❑ �ocks—42"or ter ❑ Laad Alte�tian [] o 'i i
<br /> Geamal—U�ar Aefleod Sarch�rge Genaral—URar noHeed CroocKal—Uaer Def,ued
<br /> ❑ Caanmc�ial�-(PecIJBC) (� 0-SDOCubicXardW tPua�O-75'?.ime-5��0.00
<br /> *Eatimated Co�t:S SS0.00�tvecds s►oe r�en)
<br /> Gaaval—Usarpofmod ❑ SO1+CubicYards
<br /> ❑ Residential- �30.00 530.00(rreodq c.u.r.)
<br /> [� Tree Removal
<br /> a�-u�u�,�a
<br /> •Within 0-�S'-530.00
<br /> I herby apply for a User DeSued Permit and I acknowledge that the information above ia complete aad
<br /> accurete;that the work will be in confonnanee w�th tite Ordinanc�s and Codes of the City and with tho State
<br /> Huildittg Code;that I underetand lhis is not a permit and worlr ie not to start vv�thaut a permit;and that the
<br /> work will be' danco vrith e �rove� lan.
<br /> Applicant De� 7 f�- �-�o��
<br /> ��`,�,� ��w�➢a�is
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