2004-P07957 - stairway to lake - Laserfiche WebLink

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. ~ Cit �of OronO �p� FOR CITY USE ONLY Q40 3 2 �Q P.O.Bo�66 �� Date Received: �i�"1'0� Permit# �� �,,;.;,,.,_ ?7�0 Kelley Parkway � a '(t�'�=�:;'>- � G stal Ba MN 55323 y j;:;1�•,, F Y Y, Amount: � �� -- C.U.P Filed: �''�i�;Fr��;{y$o` (952)249-4600 �ssxo� Approved By: p�i�� Site Plan: Recommends: A roval Denial ❑ CITY OF ORONO - USER DEFINED/GENERAL PERIVIIT (All pennits must Ue approved Uy tl�e Building Official and/or Zonin�Department) Job Site/Owner I�iforniation: Site Address: �y�� C�-�, �� C�- Owner: ��-e-- Z v � � Mailing Address: /�o ,�„✓Q �.S-3� Y City: Zip: Home Phone: �`�� — �� - �d�� Altemate Phone: Contractor/ Applicant I�lformation: Contractor/App.: �� C"'f� -��`. Contact Person: �U e � �C-e Address: 1�� -c�.� -v- ,!gic .S� State License #: �G� 3 �U�� City: �ti�G�--� �?�1/ Zip: �`�32� Expiration Date: � �/ G S_ Phone: Col Z ' �G�G - �y S -Z Alternate Phone: TYPES OF USER DEFINED PERMITS �Stairwav to Lake ❑ Retaining Walls ❑ Temporarv Trailer General—User Defined Surcharge General—User Defined Surcharge General—User Defined * (Per LBC) * (Per UBC) * $30.00 *Estimated Cost: $ y�. ' * Estimated Cost: $ ❑ Docks—42"or Greater ❑ Land Alteration ❑ Zonine Review General—User Def ned Surcharee General—User Defined General—User Detined ❑ Conunercial—(PerUBC) ❑ 0-SOOCubicYards *ForO-7SZone-$30.00 *Estimated Cost: $ $SO.00(Needs Site Plan) General—User Detined ❑ 501+Cubic Yards ❑ Residential- �30.00 �50.00(Needs C.U.P.) ❑ Tree Removal General—User Defined *Within 0-75' -$30.00 I herby apply for a User Defined Permit and I acknowledge 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 be in accordance wit he approved plan. �� I � � � - oy pplicant Date (Usq�DeSned Pecarit 3/18/04)