Laserfiche WebLink
� C��y of Orono , <br /> �uUdin� Per 9t Applicattan �or �(alntenanc�/RQnovation <br /> w(r�dows,daors,sld�ng,re-roof,eYa. <br /> . Q�u�,j�� ��,rrPO Bnx dfi� v� Permitnumber: �� _ l� <br /> aryslal Bay,MN 66 �y�� pate reoolved; <br /> � �� '� �yr� Slroulqdd�pss: (' ( w RacelVedby; <br /> 2Y501<olloy pAfkti �r� Plen revlew tea; <br /> �`�ro�}o�w Orono,MN 66368 ,'• <br /> Meln� 952-24B-A000 F�X,A62-249�1818 yy�(/.cl.arnno mn.ue 7olel Fee; / �--�D �, > <br /> Tills appllcatian Io must ba aomplaled in full and all requlred InCormetlon mual be submll4ad, <br /> 1 oompteta ppptloatlons will be ruturned, (P/easa pNnf) <br /> OEN�RAL INFQRMATIQN: <br /> JpB$IteqddYoee; ''�.,� ''• U IC� 31�j <br /> WIII tfils bo a Paruda oP ainas R�mod�l�rs Sl�awoas� ome or otlier�laplay Noma? ea "l�Tfo <br /> Ifyer,abpoclalevenlryAimUlsiequ JWHhpollwpOpOrlme)tlphd01fy0oUndlnpnroval60dayepdo�fulhoeVenl.BhuNlobUaedrvlcowBlbn <br /> 1'oqUlNdu�tlaSaupplloali domonaValosev!llolontan•sl(apnrktng/s�yn1/nbfe,Non-pormlffedeveulewlllnolGaollowod� <br /> CoNTRAGTORlAPPL.IoANTI �qitMA714Nt <br /> N�ma: � �4 �S GON 5�r►z�a�r�ow <br /> Slela Uoansa 1E G ' � ExpireUon pata: ����� <br /> l.ead Ceriiffcptlon Number, jt�. Explrallon bate: _ 7�� ' <br /> ((orworlranhomesfh�tWpra t��ruoe p�a-I ri�e� <br /> phone: � .—� ,{oFiloe) �.5'L'�.15'2-�12� icoll} <br /> Melling Addrese; •c u o �nl': �LC � 1lZ�P� <br /> Contact PersUn: y Applloent ls: a Ac or f Homeowner (mrcto ono� <br /> E'mnllund/orPax: - ,�� v� ��,, 1�„� -.1 � or?�,�j <br /> pRoP�RTYoWN�RINFoRM fioNt ' <br /> Nemo: ,r��'�' ;QaP�rA�rk-N� '�}�\�I: <br /> Phone(day); WS •. 'fiL'7- <br /> AddYess: qp CI(y, ' ,l•D� � tuzlP: <br /> �mall and/or I�ax <br /> F'RQJ�CT INFORMATfON: <br /> Typo aFproJect: Any maKh movamnnt may roquira <br /> Q poAr(e) []fi odel [j FIC�pumege MCWD review&permils7 <br /> MMnol�oha Croek Walershed[lfslrint(MCWA) <br /> �]Ro-root,asphait CI R nir Cl Slorm hamApa p��yphaVen BMMt�86381 <br /> ❑Fte-raof,cednr G7 R larallon [j Walerpam@g� phone: �52�471•0690 <br /> C]Re•toof,olhal(spoalty) ❑51 Ir1y ❑OI$eC(epaolfy) F'axt 8G2.171-Q682 <br /> � pw d0y/(8) }Y�JNlttlllth8h61t8otABIt.OfC1 <br /> OvarallpraJoaEDeacY1 tip on; �1h�5� SZt:v'Ll�a'�' t,t�a'T 3�3 <br /> E�timatad Conalrllctinll V�IU lon pPPJ'o eat expluciln fantJL S72i000 bQ`'`'_.r_ ., <br /> AF'PLICANT AC{SNQWl.Ep EM�NT: <br /> . Agrees Io pravide eil Infor ilon►oqulred orroquvalod by Ihe Butlaing UopertmenU <br /> Cedllies lhet lhe tn(ornlall supplled Is trua end oorrvot to the bvs�of hislhor knowiadgv. 1'ho epplloent rocognlzea that ihey <br /> � are aololy rdaponalble for bmllling e comPlele dppllcpllon belny ewere ihat upon falture to do so,ihe etetf hao na alternmuvs <br /> but►o reJaot lt vnUl It In oo lolo; <br /> . Some or GII of Iho Inform lon lhnt you nro aal<od lo proVida on this eppilcaUon Is�laseifiad by slate law es olqiaY pdVAla Or <br /> �wnflJenliel� F'rlvate tlala e(nformeUon whiah Senerelly oennot be givon lo iho pVbilo but cen be gNan io lhe subJectof the <br /> ' date. ContlQoltl�al data I InfomtaUon whloh genarally oannot be given to alihor ihe publla or the subJeot oC the date, Our <br /> purposa nnd Intvnded ue ot u�is Informallon la lo annually updala our roeorda and recorde af ulher govemmanlel apenclex <br /> re ulre�b lavi. IF ou ref e f I U e fo �aU ,ihe a I�callon ma not be Issued. <br /> ' . Appltoan►'e slanat�rA: dsta: ��3C��Z.����' <br /> , 4naNpdnlod:oe.an•aof i � / <br /> . � ;; �, /���� �7��f�l� <br /> . �� <br />