Laserfiche WebLink
� <br /> p�� City of Orono <br /> 4" � � ''� FOR IT USE ONLY� /v� <br /> P.O.Box 66 Date Received:/ y Permit# <br /> �4 t. � � 2750 Kelley Parl.tivay � < p <br /> � ly�'t�-- '�� Crystai Bay,Mir'S5323 , <br /> � 4�•`i � <br /> '� ayt't1�ny�y� (952)249-4600 <br /> �iiaxo� Amount; $�U � 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 Buil ding Official and/or Zoning Department) <br /> :Job Site/Owner Iilforination. � <br /> SiteAddress: STUBBS BAY, SWAN LAKE /�d ,�,��� �TiP�=E� <br /> Owner: MINNEHAHA CREEK Mailin;Address: 18202 MINNETOKA BLVD. <br /> WATERSHED DISTRICT <br /> City: DEEPHAVEN, MN Zip: 55391 <br /> Home Plzone: 9 5�_4 7� —0 � Alternate Phone: <br /> Gontractor/.Applicant Information <br /> Contractor/App.: SUNRAM CONST. Contact Person: PAUL KERANEN <br /> Address: 20010 75 TH AVENUE NORTH State License #: 81 15 <br /> City: CORCORA�, MN Zlp: 55340 Expiration Date: 3-31-08 <br /> Phone: 7�3_4 .0— 14 AlternatePhone: 612-282-7771 <br /> ' ••.� �'T. �-. • � F� ''TYPES OF USER DEEINED PERIVIITS,. :.� - - <br /> ❑ Stairwav to Lake ❑ Retainin� Walls <br /> ❑ Temporarv Trailer <br /> General—User Defined Surcharge General—User Deftned Surcharge General—User Defined <br /> * (Per UBC) * (Per UBC) *$30.00 <br /> *Estimated Cost: $ *Estimated Cost: � <br /> ❑ Docks—42"or Greater 0 Land Alteration ❑ ZoninQ Review <br /> General—User Defined Surcharge General—User Defined Gencral—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 Z`ard5 <br /> ❑ Residential- $30.00 $50.00(Needs C.U.P.) <br /> ❑ Tree Removal <br /> General—User Def ned <br /> * Within 0-75' -530.00 <br /> I h�rby apply for a User Defined Permit and I ac{cnowledge that the infonnation above is complete and <br /> accurate;that the work will be in conformance with the Ordinances and Codes of the City and with the State <br /> Buildin�Code; that I understand this is not a permit and work is not to start��,�ithoui a pennit; and that the <br /> ���ork will be in accordar.ce ���ith the appro��ed plan. <br /> �. � ��,�c�,�-,r—, _ �Z � ; � . �,-� <br /> Applicant _. Date <br /> Reset Form c�=t,D:F:,.�r=�„�„�a;�y, <br />