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07�30i93 10:56 THE CITY OF ORONO 612-473-7357 002 <br /> . � <br /> ` CITY OF �ROidO -�- BIIZLDING PERP�IT APFLICaTION <br /> • �� � � ' � Date Rece3ved: �S <br /> T�tal Fee: S <br /> � Date ADproved: <br /> Entered 8y: ' Pe�mit$: �S 5 � <br /> � �gOR�ATION MIIST BB bUBMI�� YN �� B$Fo�sE pl.Ax RFVIis�T �� �B STAR� <br /> (See Check—off L�.$t Enclo�ed3 <br /> ������r���.�����+������������������� <br /> ��.�����������+►�.�����..��������ar����w��rw�����.�� <br /> � ApPLI�� IS: (circ�e oae) OWNER or CONTRACTO <br /> i o'1 S � <br /> JOB SITE ADDRSSS: 1�'�i Mi 11 stone - Z1P=- <br /> � twork) 337-1901 <br /> NAI� OF Oi+�NF.Rs Irwin J:acobs PSONEz (home) <br /> :�,IZING 1�DRESS: 1700 Shorel i ne Dri ve Cz1'Y: Orono ZZP: 55391 <br /> CONTRACTOR: <br /> Jensen Homes, Inc. . pg�l,tg: 475-0548 <br /> �+�A,II,�I+IG ADDRE56: 601 I Akechore Parkway_= ��' Minnptnnl(d�� ZZP���n� _ <br /> s�cA�s Lzc�+Tss: � - <br /> �RC�ITX,CT/�tGII+�I:ER:__ Same as abo P .� p$��' <br /> 2SP,ILIZ�IG ADDR85S: CITY: ZIP: __i,^ <br /> � _� <br /> �: R$GIS�'R1��TI OR # <br /> rypg pp f�TORR; New X AdBitio�_ Accessory Stsuctuze � Move�_ <br /> Demo R�oc�/Alteration� RenovaLe Land Alteration� <br /> � <br /> �ROPoSP.fl �+�ORx tdescribe in datail) :_ Proposed new resi dence, Idemol i ti on of exi sti ng _ <br /> structure to ,take place within 30 da s of new home bein finalized for occu anc . <br /> ��Tolt�$S:,_,__ SQ• �T oF �� ��R:_ lst 10 8 2nd 509 <br /> i0. O$ B�ROOIdS:,�,�_ GARAGS STAT�7+Ss ATT. DET._� <br /> a,.STZMBTF.D CONST�tIICTION VALIIATIOI�t {esalnd.as9 laad? s $ 65,000 <br /> hereby applp for a buiiding permit� aad I ackno�+ledge that the �.nfarmation <br /> bove is coa�plete aad accurate; .that the work Wi11 be in conformance with the <br /> � rdiaaaces and codes of the Cfty and With the State Buildi.ng Code; that I <br /> :nderstand thf s is nat a permit and s�►ork 3S aot to start without a permit; and <br /> :.:�a� the Work Will be in accordance wi�h the approved p1an. . . <br /> DA�: - 30 - 3 <br /> �P�ICANT'S SIGNAZ'Qit�: <br />