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, � <br /> - . „ <br /> p � City of Orono <br /> ��' �O� y� FOR IT USE ONLY �//�O <br /> P.O.Box 66 Date Received:/ y Permit� <br /> '� . 2750 Kelley Parlavay <br /> +� <br /> � 1���?-- '� Cryscal Bay,MN 55323 _ <br /> ���'t1��;ry��y�� (952)249-4600 ,q� <br /> rs,co¢ Amount; $�� C/� C.U.P Filed: <br /> Approved By: Site Plan: <br /> Recommends: A roval ❑ Denial ❑ <br /> CITY OF ORONO -USER DEFINED/GENERAL PERMIT <br /> (Ali penniu must be approved by the Building Official and/or Zoning Department) <br /> s7ob Site/Owrier Tiifonnation. � <br /> Site Address: STUBBS BAY, SWAN LAKE aj�� � ��� ���C� <br /> Owner: MINNEHAHA CREEK MaiIin� Address: 18202 MINNETOKA BLVD. <br /> WATERSHED DISTRICT <br /> City: DEEPHAVEN, MN Zip: 55391 <br /> Home Phone: g 5 2_4 71 _0 5 � Alternate Phone: <br /> Gontractor/.Applicant Information - <br /> Contractor/App.: SUNRAM CONST. Contact Person: PAUL KERANEN <br /> Address: 20010 75 TH AVENUE NORTH State License #: 8115 <br /> City: CORCORA�I, MN ZIp: 55340 Expiration Date: 3-31-08 <br /> Phone: 7h�_4y p_ 14 AlternatePhone: 612-282-7771 <br /> ` � ' � ':TYPES�OF:U�ER DEFINED PERIVIITS :. <br /> :.�.A .Y. ,F },�. <br /> ❑ Stairwav to Lake ❑ Retainin� Walls ❑ Temporarv Trailer <br /> General—Uscr Defined S urcharge General—User De£ned Surcharge General—User Defined <br /> * (Per UBC) * (Per UBC) *$30.00 <br /> *Estimated Cost: $ * Estimated Cost: $ <br /> ❑ Docks—42"or Greater � Land Alteration ❑ ZoninQ Review <br /> General—User Defined Surcharge. General—User Defined General—User Defined <br /> ❑ Commerciai—(Per UBC) ❑ 0-500 Cubic Yards *ForO-75'Zone-$30.00 <br /> * Estimated Cost:$ $50.0� (Needs 5ite Plan) <br /> General—Uscr Defined � 501 T CubiC Ya[d5 <br /> ❑ Residential- �30.00 $50.00(Needs C.U.P.) <br /> ❑ Tree Removal <br /> General—User Def ned <br /> * Within 0-75' -$30.00 <br /> I herby apply for a User Defined Permit and I acl:nowled�e that the infonnation above is complete and <br /> accurate;that the work wil] be in confonnance with the Ordinances and Codes of the City and with the State <br /> Building Code; that I understand t11is is noi a permit and work is not to start���ithout a permit; and that the <br /> ���ork will be in accordance ���ith the sppro��ed plan. <br /> � � �u � � �� t Z - � � � �`7 <br /> Applicant __. . Date <br /> Reset Form (UserDefiacdPcrnit3;18-�y� <br />