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04/18/2006 09:03 FAX 612 746 5505 BENESYST �004 <br /> � ' � � <br /> Total Fee: � �oDba 5� Date Received: �- ��/�%�_�L <br /> Entered By: 'F'�'�" Permit#: ,f}-(}���_`� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print al[dnformation) <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRES5: 3251 Casco Circle Z�� 55391 <br /> Will this be a Parade of Homes,Remodelers S6owcase Home or other Display Home? <br /> ❑Yes �✓ NO Ifyes,a special event permit is required with Police Department and City Council approval <br /> 60 daysprior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> s�cient on�site parking is available. Non permitted events wil!not be allowed. <br /> NAMC OF OWNER: martc gaylord pgONE: (home) 6�z �2��- �s y 7 <br /> (work) <br /> MAILING ADDRESS: 182 2nd st C�.Y; exce�sior ZIp: 55331 <br /> CONTRACTOR' a�ei PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LTCEN5E: # EXPIRATTON DATE: <br /> ARCHITECT/ENGINEER: 3 Studios pH��: 6127463993 <br /> �vratr,ING ADDRESS: 219 north second st CITY: minneapolis Z,�; 554U1 <br /> NAME: Julie osaid MacLeod REGISTRATION• # <br /> TYPE OF WORK: New Home ✓ Addition Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detain: reference city counci]resolurion <br /> #06-3176 MARK GAYLORD AND LORI ANDERSON,3251 CASCO CIRCT.E,and reference attached project plans <br /> 5TORI�S• 1•5 SQ.FEET OF EACH FLOOR• appr I S00(upper,main,tower) <br /> NO. OF BEDROOM5: 5 GARAGE STALLS: ATTACHED ✓ DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ sso,000.00 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to s without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNA'I'URE: "�"`- DATE: ��� � ���� <br /> 31 <br />