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2017-00768 - refund of escrow paid
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3546 Ivy Place - 20-117-23-42-0018
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2017-00768 - refund of escrow paid
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Last modified
8/22/2023 3:59:22 PM
Creation date
1/23/2018 2:45:36 PM
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x Address Old
House Number
3546
Street Name
Ivy
Street Type
Place
Address
3546 Ivy Place
Document Type
Permits/Inspections
PIN
2011723420018
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--\.dIK' <br /> i _ _ r0p <br /> City(1� f Orono <br /> .,_ „ey\I\ Building Permit Application t. *1-4--) <br /> for <br /> for New Structures or Additions <br /> Mailing Address: <br /> t Permit number: p;C�1 -7 - 0-2 �� <br /> �QA, PO Box 66 -) <br /> W Crystal Bay, MN 55323-0066 Date received: 7-L1 <br /> �1 Street Address:' Received by: -C <br /> �Y 2750 Kelley Parkway i 39 1cl� � Plan review fee:Orono, MN 55356 7kfsHovMain: 952-249-4600 Total Fee: a 1 -7 - OO-j <br /> Fax: 952-249-4616 www.ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applications will be returned. (Please print) <br /> GENERAL INFORMATION:Address: t \\)1 ¶ i Al f?v VA--) <br /> �� <br /> Job Site ���� �'�/� <br /> Will this be a Parade of Homes, Remodelers ShowcaS(e Home or other Display Home? Lf Yes yiNo <br /> If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be <br /> required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> CONTRACTOR/APP ICANT INFOR ATION: . <br /> Name: G I• 'r IIIA-U - <br /> State License# , .. <br /> LI" Expiration Date: �J �� <br /> Phone: (cell) .(2• / �• ;',9" (office) /a..144:00, 7 <br /> Mailing Address: �• City: ZIP: 13. 4.4-7 Contact Person: C �'l V '�'`4 Applicant is: Cotractor / Homeowner (Circle One) <br /> Email and/or Fax: y� �.CV �afJ2 .Coyer <br /> PROPERTY OWNER INFORMATION:. }- �_ <br /> Name: 1 -V tAtIRy 6��1 w i.1 <br /> Phone (day): <br /> Address: /r', \I 1( ' City: O . 5. 11 <br /> Email and/or Fax rtli.otp►j i , uawl. PdU j marl don1vy (d ho cuJ.cuw. <br /> ARCHITECT/ENGIN ER INFORMATION: /, <br /> Name: C I - s, LJGI PC.{J• <br /> Phone (day): • Aar.. ' • '1,,00 _00 <br /> Address: /� • • _'r;• City: *(frj(11- ZIP: 5-&-----1-1----7 <br /> Email and/or Fax: t\I.Q� f:AtrN.p c a.v-1i^Sr,r,ta .coviA. I <br /> PROJECT INFORMATION: Description of project: <br /> 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& <br /> Water Supply <br /> ❑ New Construction 'Single Family with ❑Accessory Bldg./Garage ,, <br /> -Addition attached garage ❑ Deck A Public Sewer <br /> ❑Accessory Building ❑ Single Family with ❑ Office/Commercial <br /> CI Relocation detached garage JJ Residence ❑ Private Sewer <br /> ❑ Other: (specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s) <br /> ❑ Public 4-feet or greater Public Water <br /> **Any earth movement may require ❑ Commercial ❑Storage <br /> MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well <br /> Minnehaha Creek Watershed District(MCWD) ❑Other: (specify) ❑ Other(specify) <br /> 15320 Minnetonka Blvd <br /> Minnetonka,MN 55345 <br /> Phone: 952-471-0590 <br /> Fax: 952-471-0682 <br /> www.minnehahacreek.orq RECEIVED <br /> $ �.y� ~r <br /> Estimated Construction Valuation (excluding land) 0512:7 <br /> JUL O 62011 <br /> Packet Last Updated: August 2015 CITY OF ORONO—ge 21 <br />
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