2005-P08829 - stairway to lake - Laserfiche WebLink

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- �� City of Orono FOR CITY USE ONLY P.O.Box 66 Date Received: �;,.—J 3-�� Permit# �' � �7�0Kelle Parl.tiva �.;.�.,�. � Y y a 't1'!?�=?;. '�/ Crystal Ba MN 55323 Amount: $ C.U.P Filed: 9 1�1-.1�';, �, Y, �^ '11�;yr�,l;��,�� (952)249-4600 /�� �ssxog Approved By: P!/ Site Plan: Recommends: A roval Denial ❑ CITY OF ORONO - USER DEFINED/GENERAL PERl�7IT (All pznnits must Ue approved Uy thz Building Official and/or Zonine Depaitment) Job Site/Owner I�iforniation: Site Address: ��b Owner: �,0 1�`� �'�.(� � Mailing Address: �(?l/�,�_ City: (7�,(�� Zip: �SS36 y Home Phone: Altemate Phone: ��-�(��'�61 � Conn-actor/ Applicant I�ifornlation: Contractor/App.:�t1�V l� � �l�K.iN Contact Person: Address: � (`� ��x � State License#: City: �� Zip: y� y Expiration Date: Phone: �(�- G��-;�303 Alternate Phone: TYPES OF USER DEFINED PERMITS Stairwav to Lake ❑ Retaining Walls ❑ Temporary Trailer General—User Defined Surcharge General—User Defined Surcharge General—User Defined * (Per LBC) * (Per UBC) * $30.00 *Estimated Cost: � ��•�' *Estimated Cost: $ ❑ Docks—42" or Greater ❑ Land Alteration ❑ Zoning Review General—User Defined Surcharae General—User Detined General—User Deiined ❑ Conunercial—(Per UBC) ❑ 0-500 Cubic Yards *ForO-75'Zone-$30.00 *Estimated Cost: $ �SO.00 (Needs Site Plan) General—User Deflned ❑ 501+CubiC YaTds ❑ Residential- $30.00 $50.00(Needs C.U.P.) ❑ Tree Removal General—User Defined *Within 0-75' -$30.00 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 w n accordanc h the ap roved plan. .� �- 1,3-os Applicant Date _ __. ___ ._ . {UserDeSned PeSarit 3l1.8/04)