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CITY OF ORONO � 6124730510 OS/21/9b 09:38 � :07/12 N0:673 <br /> Total Fee; � �3��� ; �. DateReceived: <br /> �A.� ¢� 3 ���`�'` DateApproved: <br /> Entered By: �� Permit�: _ �v/ ,� <br /> CIT'Y Q�' ORONO - B�DING PERNIIT APPLXCA�'ION <br /> ALL INF0�2MATIQN �ILJST BE SUBVIITTEI7 IN FULL BEFORE P�.AN ItEYIE'W WII,L <br /> BESTARTED <br /> THE APP�.ICANT I�: (circle one) OWNE R CONTRACTOR <br /> .TOB SITE ADI)RESS- 255 Landmark Drive Zjp: 55356 <br /> NAME OF OWN�R: Mark Casey PHQNE: (hOrrie}476-6735 <br /> (Wotk) 835-4200 <br /> MA.T�.INGADDRESS�255 Landmark Drive CITy: Orono, ?�p. 55356 <br /> Jonathan Sandberg dba . <br /> CQNTRACTC�R: Outdoor Designs pgQjlj�; 936-2224 <br /> MOBII�E PHO.'�1ElPAGTR: <br /> MAILINGAx1llRESS: 1625 5th Street S . CITY: Hopkins� MN ZI�2 55343 <br /> STATE LICENSE: # � 9 0 9 6 <br /> ARC�IITECT/�NGYNEER: PH4NE: <br /> MAZLING ADDRESS: ---CITY: 2�: <br /> �q,��; REGLSTRATION # <br /> TYPE QF WORK: New Addition Accessory S�ucte�re Yes <br /> Move Remodci/Alteration I.,au�d Al�cradon <br /> PR(aP�SEDW(�R�{(describeir�d�tail): Installa�ion �� � �r�P ��a; ng _ <br /> component built gazebo. <br /> S'x'ORYYkS: 1 SQ. k'EET OF EACH FL�UR: 13 0 scr. f t . _ <br /> NO. oF a�n�ooN�s: GARAGE STALI�,S; ATT. DET. <br /> ESTIMATEp CONSTRUCTTQN VALUATION(excluding land): $ 7 5 0 0 .o 0 <br /> I heceby apply for a building permit and I acknowled�e that the informatian above is complete <br /> and accurat�; that the work will be in canformar�cc with the ordinances and codes of the City <br /> and with thc State Building Code; that I understand t 's is not a perrnit and work is not to start <br /> wichout a permit; and that thc wark will in dance with the approved plan. <br /> APPI.ICANT'S SIGNA . DATE: S Zz l <br /> � <br /> NOTE! �'gr�,.p�.HQrr�es ev ts require se rate permit approval by Police Department and <br /> Ctty Council 60 days pr�or o th� event. on perntitted events will not be allowed. <br />