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Totai Fee: � � �5 . o o DateReceived: <br /> ,,� DateApproved: <br /> Entered By: �. ,;� Pecmit#: '� �� <br /> Zoning File# : 2065 <br /> CITY OF OR�NO - BUILDING PERNIIT APPLICATION <br /> ALL IlYFORIVIATION I�fUST BE SUByiTTTF,D P1�'IILL BEP'ORF PLAN R�VIEW WILL <br /> BESTARTED <br /> --- ----------•------ ------ ---- - <br /> TI�E AYPLICt1N'T IS: (cir�le one) OWNER OR c����Z�� <br /> .TOB SITE ADDRESS: 2455/2425/2435 Scotch Pine Lane ZIP: 55391 <br /> Hill/William Toles � <br /> NAII2EOFOVYN.ER: Sam Marfield/Douglas PHONE: (home) 47�-3 44 <br /> Pine Ln. �u'�rk) 546-2000 <br /> MAII,INGADDRESS:2455�2425/2435 Scotch CITY: Orono ZII'=55391 <br /> COriTRACTOR: p���� <br /> MOBILE PHOti'E/PAGER: <br /> MAILING A.DDRESS: CITY: ZIP: <br /> STATE LICENSE: #� <br /> A�ZCHITECT/ENGI�YEER: B Rw, I n c . . �,Hp��: 3 7 3-6 3 6 2 <br /> MAILINGADDRESS: 700 3rd St. South CZTy; Mnpls Zjp; 55415 <br /> jvAjV1E: Jon Horn, P.E. REGLSTRATiOIv � 2 0 7 3 8 <br /> TYPE OF WURK: New Addition Access�ry Strucwre <br /> Move RemodeUAlteratioii I.and Altec�non_ x____ <br /> PROPOSEDWORK(describcindecail}; Removal of blacktop from Scotch Pine Lane, <br /> Abandonment of storm sewer�minor aradina, drivewav modifications (see <br /> — attached plan) <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. 4F BEDR04vIS: GARAGE STALLS: ATT. .DET. <br /> ESTIMATEDCUNSTRUCTIOti'YALUATION{cxcludin�land): $ 19,000 <br /> I hereby apply for a buildin� permit and I acknowled;e t�ia� the information above is complete <br /> and accurate; that tlie work will be in conformance with the ordinances and codes of the Ciry <br /> and with the State Building Code; Lhat I understand this is noc a permit and work is not to scart <br /> wi[�iout a permit; and that che work will be i.n accordance with the apgroved plan. <br /> Y � ; ._�.: ' • _� <br /> ; • - _ <br /> APPLICANT'S SIGNATIIRE: • ' DATE: , -Yl_ <br /> l l I� .. � ' �� - <br /> _ _���,�:,r�/ 7- - � - ��, /E:. <br /> NOTE! Parade jof i,�Yom� evertts require Separate pennit approval by Police Department and <br /> City Cou�tcil 60 dayS pTror to the evettt. Non permitted evercls �yill nut be allvweti. <br />