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� <br /> p � City of Orono <br /> /� � � � FOR IT USE ONLY�j/� <br /> P.O.Box 66 <br /> (� 0 Date Received./ y Pennit# <br /> � _ 2750 Kelley Parkway <br /> � �ly�-:_�-- � Crystal Bay,MN 55323 � <br /> \t!iy��o y� (952)249-4600 :.Atnount� ��.$��•�� �C.U.P Filed. � � <br /> �t <br /> Approved By: Site Plan: <br /> Recommends' A roval ❑ Denial ❑ <br /> CITY OF ORONO -USER DEFINED/GENERAL PERMIT <br /> (All penniu must be approved by[he Buil ding Official and/or Zoning Department) <br /> 7ob Site/Owner Information. `� <br /> Site Address: STUBBS BAY, ;;WAN LAKE �(p/ � � ��'('� <br /> Owner: MINNEHAHA CREEK Mailin� Address: 18202 MINNETOKA BLVD. <br /> WATERSHED DISTRICT <br /> City: DEEPHAVEN. MN Zip: 55391 <br /> Home Phone: g 5 2_4 71 _p � Afternate Phone: <br /> Contractor/.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 Zlp: 55340 Expiration Date: 3-31-08 <br /> Phone: 7h3_4�p-2� 40 Alte.rnate Phone: 612-282-7771 <br /> '_ - �� F� 'TYPES:QF:USER DEF:INED P�RIVIIT5 , `.'' . <br /> ❑ Stairwav to Lake ❑ Retainin� Walls ❑ Temporary Trailer <br /> General—User De£ned Surcharge General—User Defined 5urcharge General—User Defined <br /> * (Per UBC) * (Per UBC) *�30.00 <br /> *Estimated Cost: $ *Estimated Cost: $ <br /> ❑ Docks—42" or Greater � Land Alteration <br /> General—User Defined Surchar e. ❑ ZoninQ Review <br /> € General—User Defined General—User Defined <br /> ❑ Commercial—(Per UBC) ❑ 0-500 Cubic Yards *ForO-75'Zone-$30.00 <br /> * Estimated Cost: $ $SO.00 (Needs Site Plan) <br /> General—User Defined � 501+Cubic YardS <br /> ❑ Residential- �30.00 �50.00(Nceds C.U.P.) <br /> ❑ Tree Removal <br /> General—User Def ned <br /> * Within 0-75' -530.00 <br /> I herby apply for a User Defined Permit and I acl:nowledge that the infonnation above is complete and <br /> accurate;that the work wi(1 be in conformance with the Ordinances and Codes of the City and with the State <br /> Building Code; that I understand this is not a permit and work is not to start without a pennit; and that the <br /> «�ork�vill be in accordance ���ith tne appro��ed plan. <br /> � :,.� ��'\C��'Y't �2_ -� i � . ���7 <br /> Applicant Date <br /> Reset Form (UserDeFin_dFcmiti;13iG11 <br />