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fotal Fee: $ �O , - Date iteceived: s- -U �/ <br /> Entered By: � Permit#; ��� �' <br /> C.iTY OF ORONO - BUILD7NG P�RMIT APPLICATIOIY <br /> All in#brmation must be submitted in full before plan review will be st�rted. <br /> (pdease print all rnformatBon) <br /> -------�_..__---------- �.�----------...,w�____�-_--- <br /> _--�---____�..____------`-----_--�_____ <br /> THE APPLICANT I5: (circle une) OVVNER OR CONTRACTOR <br /> JOS SITE AUDRES5: 4760 Bayside Rd Zip; 55356 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Mome? <br /> � Yes ❑✓ No If yes, a special event permit is required with Polic�Department and City <br /> Council approvicel 60 days pr�or to the event. Non perrni!!ed events will not <br /> b�uu�w�a. <br /> 1VAME OF OWN�R: Barnum Residence PMONE: (home) <br /> (work) <br /> MAILING ADDRESS: 4760 Bayside Rd C1TY; Orono G1P: 55356 <br /> � <br /> CONTRACTOR: �Nilliam Bunn Masonry Inc. YHO,NE: �952 292-2685 <br /> CONTACT PERSON: Mike Bunn N10BILE/I'ACER: (952)292-2685 <br /> MAILING ADDRESS: 219 E Frontage Rd CITY: Waconia ZIP: 553$7 <br /> STATE LICENSE: # EXP�RATION DATE: <br /> ARCHITEC 1/ENGINEER: PHOIVE: <br /> MAILING ADDRESS: CIT'Y: ZIp: <br /> N�M�= REGISTRATION# <br /> TYPE OF'WORK: New Accessory Structure ✓ <br /> Additlon _ Move Home � <br /> RemodellAlteration — !— <br /> PROPOSEI) WORK(describe in detai�; Entrance monument consisting of one post on each side of driveway <br /> STORIES: SQ. FEE'1 OF EACH:FLOOR: <br /> NO. OF B�DROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALt1ATION(excluding land): $ 4,766.0� <br /> 1 hereby apply for a building�permil and I acknowlc;dge thAt the iaformauon above is complete and accurate;that tht <br /> work will be in conformance with the ordinances and aodc;s of the Ciry and with the State Building Code; that I <br /> understand this is not a permit and work is i�ot to starc without a permit;and that the work will be in accordanice with <br /> the approv�d plan. <br /> APPLYCANT'S SIGNATURE: � ����I�c.,�:ti„ti DATE: S � �1 'G '� <br />