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&PYL, 10-&-oy <br /> Total Fee: $ g 3 Date Received: R-2-t-01 <br /> Entered By: Permit#• <br /> CITY OF ORONO -BUILDING PERNUT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 2480 Old Beach Road ZIP:55391 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes ®No If yes,a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: Robert MacDonald PHONE: (home)L252=47 <br /> (work)44z-V7 -4e cv <br /> MAILING ADDRESS: (same as above) CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: pmiel K.-,Duffy Architects, Inc. PHONE:952-541-7888 <br /> MAILING ADDRESS: 17900 Susan Lane, Ste. 100 CITY:Minnetonka ZIP:55345 <br /> NAME: Daniel K. Duffy REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure X <br /> Move Home Remodel/Alteration X <br /> PROPOSED WORK(describe in detail):AWlyipg for after the fact buildim pmui t for <br /> _accessory stns bwp and rerrcxW wi thin,�h&w- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $_ 3© K <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a p 7nit and w art without a permit;and that the work will be <br /> in accordance with the appro <br /> APPLICANT'S SIGNATU DATE: <br /> 31 <br />