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OCT-21-2008 11�08 NORTHWEST AIRLINES I5 612 726 7996 P.01i01 <br /> - ;,sfi"'p"�. CitrofOrono ,.i. , , I�O. : U :oNL;Y : ....... � d a� o / <br /> �0� ���: P,O.Box 66 DaleReoeiitc�:{: f. D PcmutN..:C���� <br /> �,�;,. 2750KcticyParkwoy ............ .. ..... r' ; . <br /> ... ... . . <br /> .;. ;r.. ..., . <br /> �+ '���`'. � Crys�sl Bey,MN 55323 ,...:.. . <br /> t. ��:u...- �., . <br /> . : �+� <br /> �+? .,nj�"�''� (952)249.0600 1�mountr::;.i;;.S� =�v� ...G-U.P flled: ' :. ' "," <br /> , <br /> .�c,�,a�,��, :...; ._ . . ...... ... <br /> �,�r,== A�;���•:G:' �.�iteRfae: . <br /> �cbi".; <br /> ....:...:...... <br /> ;F,'. <br /> ; :.;,.�:.... <br /> �.�.-.......... ...... -.._... <br /> >Iteteee6YefidT.': veF':' Dm�ie1': <br /> CITY OF ORONO-USER DEFINED/GENERAL PERNII'T <br /> (Alt permi�a must be app�ovod by dx Building Officiul und/or Zoning Dcpazmienq <br /> .a,r-:�;-:.:u,,. � ' �, � <br /> ,.. ,.:�� <br /> Site Address: 3816 North Shore Drive <br /> Owrie�: Paula Johnson Mailing Address: 3818 N Shore D� <br /> City: WaYzata Zip: <br /> 55391 <br /> Home Phone: (952)A71•s62o Altemate Phone: (952)�74-3549 <br /> �. <br /> Contractor/App.: � �� Contact Person: <br /> Address: � State License#: <br /> � c <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: <br /> '�qki' m_, . - - <br /> y�+N�1. �,� J �1, ,�,., <br /> ❑ Stairwav to Lake ❑ Retainin�Wa11s ❑ Tem o Trailer <br /> Cenrral—Uur Dcfined Succhu�e Oenerol—User De6ned Succl+argc Gencral—User DeFned <br /> "(Per UBC) "(Per UBC) •5�.� <br /> "Estiinsted Cost:S •Estimatcd Cost:S <br /> ❑ Docks-42"or Greater Q Land Alteration ❑ Zonin�Review <br /> Ge�unl-User pofincd Surchorgo General-Ua«Detined Generai-U9er Defined <br /> ❑ Commercial-(Per I3BC) [� 0-500 Cubic Yatds •ForO-75'Zone-$�� <br /> •EstimAted CosC S $5Q�(Nads Sioe Plen) <br /> c,cncrnl-Usa Defined ❑ 50 i+Cubic Yatds <br /> ❑ Residential- S3Q00 S5Q00(t,t�dsC.U.P.) <br /> ❑ Tree Rem�val �R.)V e W P+� (N ��Q t 4`SI� �' F uJ AW <br /> denetal—Vscr Definexl J <br /> *Within 0-75' -S�00 <br /> � <br /> I herby apply for a User DeSned Permit and I acknowledge that the infocmation above is complete and <br /> accurate;that the work will be in conformance with the Ordinances and Codes of the City and with the$tate <br /> Buitding at I understand this is not a permit and work is not to start without a permit; and that the <br /> ��qrk� � in acco anee with the approved platt. <br /> � r�� �� <br /> �� ��C' <br /> Date <br /> AppGcant ,,, , � y,�„;�-r� �r�� <br /> 6 � <br /> , . 'Si,i L �to v, !Q <br /> TOTA� P.01 <br />