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„ f ��,;,�,_,,2. 2005 2:46PM IWCO — SALES No. 0141 P, 1 <br /> �p� City'of Orono YrpR�py t�g�p�,y <br /> O p P.o.sox� ���vea: r�� ��70( <br /> 2750�CeUey Perkwrey • <br /> � C�ysm�Bey,bu�1 ss� :'. • ' � . . <br /> (952)249-4600 AmoW�C S' ' C.Up 1�1'lod:• . <br /> d'7�I'N�I 1� 'Approved By: ���� Sire plerc , . <br /> 1/ &oc�meadr A al neniel ' <br /> ,�,( � <br /> 1d�� �r� �X�� CITY OF ORONO-USER DEFINED/GENERAY.PE T <br /> �/� � (All prrmin�s[be epproved by the�uilding Ol�iciel and/or 7Aning Depertment) <br /> V <br /> Site Address: 1379 park drYe <br /> Owner: Sean Wambold 1V(ai�ing Address: ���e park d�9ve <br /> City: orono Z1p: 55364 <br /> Home Phone: �8�2)472-2356 Altemate phone: (612)818-90Z8 <br /> Contractor/App.: "�a Contact Person: <br /> Address: State License#: <br /> Ci�y: Zip: Expiration Date: <br /> Phone: Altsmate Phone: <br /> ❑ Stairwra�'to�ake 0 ltet�i}�i�g Walls ❑ Tempo�'I7railer <br /> O811CfA1—USOf D�d$U�gC C7CnEra1—U9q'L1Efioed$16ChargC f�}b1Er8�—CJ'SCr nEfMEd <br /> •(Per UBC) �(Per UBG'� '”530.00 <br /> '�ESt�1rlf�COSt:S '��StImB�COSt�S <br /> ❑ Docks—42"or Greater 0 �.and Aluration ❑ Zoning Review <br /> OeneCal—Uset Defmod Surchuge Genezal—user Def'med (Denerel�U'sar U�oed <br /> ❑ Commercial-(p�r�'BC) m 0-500 Cubic Yards 'ForO-75'Zont-530.00 <br /> *Esfimeted Cost:S 550.00(Needs Siu Plan) <br /> Gcnersl-Usu DeSned [] 501+Cubie Ysrds <br /> ❑ Residentiat- S30.Ob 550.00(�veods c.u,P.) <br /> ❑ Tree Remorral. <br /> OeneraJ-User Defined <br /> •Within 0-y5'-530,00 <br /> I herby apply for a(7ser befined Pe�mit and Y acla�owledge that the inforn�sfian above is eomplete and <br /> accurau;ths#the work will be in conformance with the Ordinances and Codes of tbe City and with tha State <br /> Building Code;th derstand this is not a permit and work is not to start'�vithout a permit;and that the <br /> work '11 b ' cor �th ved plan <br /> ���� <br /> App ���� Date <br />