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2003-P06935 - land alteration
PERMIT CITY OF ORONO Permit ►vumber: 2750 Kelley Parkway- PO Box 66 P06935 Crystal Bay, Minnesota 55323 Permit Type: User Defined (952) 249-4600 Date Issued: io�3o�2003 SITE ADDRES�3: 2o Fox st I.ong Lake,MN 55356 P I D: 04-117-23-31-0017 DESCRIPTION: Proposed Use: Residential Pernut Class: General Pernut Type: User Defined Pernut Sub-type(s): Land Alteration(0-500 cu yc DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00 TOTAL FEE: $ 50.00 APPLICANT: Kyle Hunt&Partners Inc. OWNER: Elizabeth Weyerhaeuser 18324 Minnetonka Blvd 3833 Zenith Ave. S Deephaven,MN 55391 Minneapolis,MN 55410 THE UNDERSIGNED HEREBY REQUESI'S PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. , . �r ���!< �_ � �. �� �'(, � .� �� � � �� �. �/� �, APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Covies: 1-File(Si�nitures Required). 1-Avnlicant, I-Monthlv Reports, 1-Assessine, 1-Finance Page 1 �,�,Q�Q Citv of Orono Y.O Box 66 f+'OR CITY C1SE ONLY f � i� 2750Ke]leyPark��°a� Dat�itecci�cd: �G" .=�5/-c��� Yermit� � j��'�,� ���r��.a��� �t� Cpit�(Bay,MN 5i323 - 1����/��� �5 �� � � �� �� �7� r�G�, (95�1?�9-460(1 ���g��,�p�=: � nm�>mit: ����,y; � � > :• r C.U.! I il�d: nppro�cd By: ���Sit�Plan: � P.ecummends: n� ro�al Dcnifil ❑ CITY OF ORONO - USER DErINED/GENERAL PERMIT (A11 permits must bc:approved by the^Buildin�Official anc�/or Znning Department) �n� ��"��t��/,U����ier [nforrr►ation; Site Address: oZ-�� o1U ��, �-�-.�� Owner: ��sy l�_�(,��,e.�S�C' Mailin�> `Address: 3�33 ��;�� �S City: ��,`�.�^�a�i`5 Zip: 5��{LC7 , Home Phone: _� �a.-��{_�`� Alternate Phone: �ontractor/Applicarzt Informa�ion� � Contractor/App.: �u����� � ���� Contact Person: ��e ����,��K Address: �a� °�-�. ��,� State License #: ����� City: �-e�v� Zi b� 1 �� , �`� Expiration Date: 3�Ut-( Phone: �SZ-�f <- S 1 1� Alternate Plione: Le 1 Z�(a gs- al�-(o TYPES OF USE`Ft�D�FINED PER;�IT�,' ��;' ;,�� �; ❑ Staiiwav to Lal<e ❑ Retainin Walls �� General -lJser Dctin�d Surcha�ge Genera) User Detineil Surch•tr�c ❑ Temborarv Trailer * (PeY UI3C) ` �� Gen�rai.._UserDefined * (Per UBC) �$30.00 *Estimated Cost: � x�stimated Cost: $ ❑ Docks—42" or Greater � Land Alteration � Gcneral -Uscr D�fin��l St�rchargc ZOT11T1L?ReV1eW' Gencral.--l.Jscr Define�l G�neral.-.User Uetined ❑ Commercial—(Per LJBC) 0-500' -$50.00(Nceds sit�Plan� *For 0-77'Lone-�30.00 *�stimated Cost: $ � 501'+_ Cieneral—Uscr Defined $�5.��(Needs C.U.P.) ❑ Residential- $30.00 ❑ Tree Removal General....L1ser Defined * Within 0-7�' -$30.00 Reset Form � I l�erby apply for a User Defined Pertnit and I acknowledge that the information above is complete and accurate;tl�at the worl�will be in confonlZance���ith the Or-dinances and Cod�s of the City and��ritll tlie State Building Code; that I u Zderstand this is not a permit anci w-ork is not to start witllout a pennit; and that the w r w�ll in � ccorda. ce with the appr•oved plan. ,\ � Applic t — 1� a�`d3 Date (lFKcr1:7e1iuklPrunif N�1ti�U�j ,_. r-i='.' t -- ` -� � � ✓ ! 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