2004-P07429 (land alt.) - Laserfiche WebLink

Home Browse Search

,�� City of Orono FOR�SE ONLY ' - O y O P.O.Box 66 (,/ti�� Date Received: Permit# 0 7�Z � 2750 Kelley Parkway � � �p�!�f��- � Crystal Bay,MN 55323 � � , , Amount: $�,�� C.U.P Filed: ' �'�x�1y;n,1��,�` (952)249-4600 ��,'�� • �xpe Approved By: Site Plan: Recommends: A roval Denial ❑ U. CITY OF ORONO - USER DEFINED/GENERAL PERMIT (All pe�lnits must be approved by the Building Official and/or Zoning Department) Job Site/Owner'Information: � J /`�� , Site Address: ✓��" � � u.J�C�� %'�L�' Owner: �r�C��9 ��G�� v��G�Mailing Address: !� � �� %� City: ��C�7� Zip: �j�� l � � Home Phone: ��j-�/�/�U � Alternate Phone: Contractor/Applicant I�iforma�ion: Contractor/App.: Se I-� Contact Person: Address: State License#: City: Zip: Expiration Date: Phone: Alternate Phone: TYPES OF USER DEFINED PERMITS ❑ Stairway to Lake ❑ Retaining Walls ❑ Temporarv Trailer General-User Defined Surcharge General-User Defined Surcharge General-User Defined * (Per UBC) * (Per UBC) * $30.00 *Estimated Cost: $ *Estimated Cost: $ ❑ Docks—42"or Greater Land Alteration ❑ Zoning Review General-User Defined Surcharge e eral-User Defined General-User Defined ❑ Conunercial—(Per UBC) 0-500 Cubic Yards � *ForO-75'Zone-$30.00 *Estimated Cost: $ $50.00 (Needs Site Plan) � o General-User Defined � ds � ��1�15� ��r� ❑ Residential- $30.00 $50.00 (Needs C. � �;i� - r' \,.r�J ❑ Tree Removal �' • (� � ,-- General-User Defined Y�l �� Within 0-75' -$30.00 � ' ;:�� - * � � t; �� ' I herUy apply for a User Defined Permit and I aclrnowledge that the information above is complete and accurate; that the work will be in conformance with the Ordinances and Codes of the City and with the State Building Code;that I understand this is not a permit and work is not to start without a permit;and that the work will e in accordance with the approved plan. �'IG� � � _ �� g'- �"� pplicant Date (User De6ned Perarit 3f18/Q4�