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HomeMy WebLinkAbout1994-006631 - replace retaining wall PER�,�IIT CITY OF ORONO f � PERMIT TYPE: . 2750 Kelley Parkway- P.O. Box 66 `r°=;s;;-: t���_�?t��;�.f i Crystal Bay, Minnesota 55323 Permit Number: �_�;�:;�_�.��:' (612)473-7357 Date Issued: _ _� � .}.: . ... SITE ADDRESS: _ . ..�•4 ..i�:'"F�'�:'sf'.-„ t�.� � .�_L � '-.l r . . .. . . . . . ._ . � ! _ _... �..2� �i_�._. . DESCRIPTION: �.,, _.. �-,-_-�;:T��:r��,; �„, ;`':�".e�•€._. ..�G. ��. ! ±�,1.`�s;y:_; ia;E..., '•,;�n..:'t' i_�f��l��ii'1 �• { Y'-'l_' ;'?�� s;`�tl`;.��441 �.��:i_���+ +;`}� i _�i tAi'! L1 f 1 Uf L�77VISL i{i:'tii:'� . H L ?~� f`llfRlYL•!� i'/ ! 1L•L .�;��.�:, l.i'�.Ji�t�V�lVV 7f e i'� f[4t �i. '!i� V.1. l•L1T J"IiVV i�'-6tri��i' Tj i jt: REMARKS. ='L Yi fi.l� _ +L'f.l+?h' 4ft(! tiL4L.1! ! !ltRl�Jt !VU ......�_:t� -•- • "i-Y fi�'=°'r.L n��J.L 1 f�l L•1JIfJ. 71�V2 !1.+5.!�7L' .'i'i l.S. _ !�7:'T FEE SUMMARY: i E,•`•,-.,.. F . .'�:�..:1"t � �'�+5��: �.�t i i��i ?�, :. » „ i'1i..i _�.�{�u '�e' '!);^t:� . . (' ..-.�___.._._�. — t.:a: ,`E_:T _ s. 7'Y:�y«t _ _if ti CONTRACTOR: —. '�F-;°.. � ..�...?—F{� -- :. . . _i;:. OWNER: -.^-,-!'"r_;'`.:; _ `"..,'i-�'`i_ = t�,;';:}" {. .�, :�`i' = " iiy� " . , _ : . _ _. :. .._: .. ,. '� _ , _ , , . .'.:`�_'._ ... ._� .--� —• --- � i:.•"��."� ;� �"S_ _, , =�j. �F:�... i f i;: t-�.I.? _ . _. _ _.. ��•;�,,.`�'`y;_'}_�I, } 1 �.=:f�:'-_`• _�r U��° `'�;'= .� .� _ =i '�E:tf�i;�i<< ='irti � _ -_�i . . _.....� . .`.'�-,:`�,,;�` f.`• --.i:�. •`'�-'�''.:�:.' T�t� ��tu���':_<I�;�d�i� ���:EE�'Y' �`�.t:�{_i�=,;-r:= F°��;t��`.��r I��tj� ��� t�ti�F`E �t`N� �i'�:�� I���`�+���1��1�i�T°�� ��;F��c'.�F�.�'L� f;���z �.,#,�'���°_. ��`' ���i_� �t..�. ��+_{���:; ��� .�"€"�_�I�::T C:;�►t��`�I r���;�� ��I�'N ��.1.. .��I�;Y �w��' ; +.: .;�.. .._ ��; . : �,_.. ..,,� .._ _ . : _'_ . �:' . .� ►�� i�iP���d�.'.;'_�i�'� ��i,�f���r�t�$�� ,_ _��� �:��:���I�����?'��''�� � � � ��� �� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE CITY OF ORONO - P�JILPING PERMIT APPLICATION Total Fee: $ Date Received: ,���� - � �� � Date Approved: _ Entered By: Y�'�:����'� Permit Il• 4� ���.%� tt p,I,I, INgpRMATION MDST BE SDBMITTED IN FIILL BEFORE PLAN RE�7IEW WILL BE STARTED (See Check-off List Enclosed) .._._ �----------------------- ------------------------ -----------------r"-=�=----- THE APPLICANT IS: ( circle one) OWNER o�CONTRACTOR /� --------,�-_----�`'� � `� �_- ' �� � � � JOB SITE ADDRRSS: � / �C� >�� f�z/�' �'� �✓��� ZIP: ) �� / (work)�L-, �- ���j� c� � PHONE: (home) ��� %��5� > NAI� OF OF7NER: �i� � / � � r�%�/��� � MAILING ADDRESS:������� - �j��.-�' � �,_� �/���ITY:���_����/�/� ZIP: �,. ;/� /� -� �(,�, PHONE: �7�-��� 7 CONTRACTOR: �C L r-f � � _ � �i MAILING ADDRESS: � 7 ��/ �, �� � �j /t-.% CITY: __-�i. ZIP: J � _ STATE LICENSE: # � �� ������"���'! ARCHITECT/ENGINEER: PHONE: _ MAILING ADDR.ESS: CITY: ZIP: N�_ REGISTRATION n TYPE OF WORR: New Addition Accessory Structure riove Demo Remodel/Alteration Renovate �('" Land Alteration , PROPOSED WORR (describe in detail) : /��l�"'C✓�� �� �� ������ ���'� � C���� � ,�1� �-'�� C , ��', �Yc ����� ! � �%� � STORIES: SQ. FEET OF EACH FI+OOR= � NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ,-�� ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ r �' �G' � I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with t.ne ordinances and codes of the City and with the State Building Code; that I understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with the approved plan. ;� `=�� '--� �- -� DATE:���-� �. APPLICANT'S SIGNATURE: �--.�� i�J -"` � .��, �� ONO CITY of U�i Post Office Box 66•Crystal Bay, Minnesota 55323•Mun1c�Pa1 ��� • � _ e � On the North Shore of Lake Minnetonka DATA PRIVACY ADVISORY In accordance with M.S. 13.04 , Subd. 2 , "Rights of subjects of data" , we would Iike to inform you that your request for a yerm llire Iicense from the City of Orono or any of its departments ma req you to furnish certain private or confidential information. You are notified that: 1. The information you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. 3. The information may be shared with other local , s�ate or f ederal agencies to the extent necessary to process the permit or license. 4. If your requested permit or Iicense requires Councii. ac��or. to approve, some information may become public. 5. You have certain rights under M.S. 13.04 to review priv�te data on yourself. 6 . Your full name is required to process this a�plication or permit. ��-� �f �,��,, �f 1; , J��''� ���=�' �i /�" " Middle Last First � / /� �� �/ �' ���'� f �� Address � >� � 7/ � ����: � City State Zip �� � ��- �r�/ � Phone I understand my rights as stated above. � ' i�� � � � Signature ( �J BU1LD[NG&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359 ASSESSIN G � ` , I � I �� -�`� �f `� I I ���yc��. ' ..._. ... ._ �.,� \ .__ __...._____._..... ..... . . . __ �_ . '_ _ - . _._ ._... . __._ ' . � . . -.. _—_'__._____-- 1 _ _'� ._. . __'_'_ --_.__ ._.____ _ . ._ _.__.__—'-__......_...... . ' � '_.__"_ "'___'__'_. '__— " _..___.'__-_— ._.._ -___....____ ..�' _ _ __ I I .____. _.. ___ '__'.__. _...--.____________-—_'--.._ .._.___'______'_____.__.-_ _______.-__. _________. . _ .._._' , ._ _. __.. . ..._._ ..__ " � T`�� 1 ..e��= � � ____ ___ __ __ ______ . 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