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� • �;¢��;., City of Orono F,p�SE ONLY <br /> //Q Q, P.O.Box 66 Date Received:f� Permit#0��9-�DO 7� <br /> ���a r�''���• �' Crys�tal Bay,MN 55323 <br /> �'���'����y��%� (952)249-4600 Amount: $ i0 C.U.P Filed: <br /> � �l � � Approved By: Yl� Site Plan: <br /> ���� � <br /> (� Recommends: A roval Denial ❑ <br /> CITY OF ORONO - USER DEFINED/GENERAL PERMIT �"�� � "'vs� �"`�`� <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> Job Site/ Owner Information: <br /> Site Address: 790 North Arm Drive <br /> Owner: Christopher & Claudia Engeler Mailing Address: 790 North Arm Drive <br /> City: Orono Z lp: Orono, MN 55364 <br /> Home Phone: 952-472-5824 Alternate Phone: <br /> Contractor/A licant Information: �� ���'��� ���� ��������� <br /> �� `�'� D ��v��s�iii GI'�Z-- `�Z� •-�'3 S'3`7 <br /> Contractor/App.: �deal Landscaping Contact Person: John Bauman <br /> Address: 5836 Co. Rd. 6 State License #: N/A <br /> City: Maple Plain Zip. 55359 Expiration Date: <br /> Phone: 763-479-4038 Alternate Phone: <br /> TYPES OF USER DEFINED PERMITS <br /> To Replace Existing Stairway <br /> � Stairway to Lake ❑ Retaining Walls � Temporary Trailer <br /> General—User Defined Surcharae General—User Defined Surcharge General—User Defined <br /> * (Per UBC) * (Per UBC) * $30.00 <br /> *Estimated Cost: $6,�0� * Estimated Cost: $ <br /> ❑ Docks-One Time �Non-t,a�:e n�ttka) ❑ Land Alteration ❑ Zonine Review <br /> General—User Defined Surchazge General—User Detined General—User Defined <br /> ❑ Commercial-(Per UBC) � 0-500 Cubic Yards *For 0-75' Zone�30.00 <br /> * EStimated CoSt: $ $50.00(Needs Site Plan) <br /> General-User Defined � 501+CubiC Yards <br /> ❑ Residential- $30.00 $50.00(Needs C.U.P.) <br /> � Tree Removal <br /> General—User Defined <br /> * Within 0-75' -$30.00 <br /> I herby apply for a User Defined Permit and I acknowledge that the inform ation above is com plete and <br /> accurate; that the work willbe in conformance with the Ordinances and Codes of the Cityand with the State <br /> Building Code; that I understand this is not a permit and work is not to start without a perm it; and that the <br /> work will b 'n acc r nce with the approved plan. <br /> ��.—� <br /> � i <br /> -----_ <br /> Applicant Date <br /> Reset Form (User Deficed Pertnit OS/OS/09) <br />