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HomeMy WebLinkAbout2006-P09710 - land alteration PERMIT CITY OF ORONO 2750 kd��Fy Parkway- PO Box 66 Permit Number: P09710 Cry��al Bay, Minnesota 55323 Permit Type: User Defined (952�'249-4600 Date Issued: 4/18/2006 SITE ADDRESS: 1835 Shadywood Rd Unit# Wayzata,MN 55391 . PID: 17-117-23-24-0006 DESCRIPTION: Proposed Use: Residential Permit Class: General Pemut Type: User Defined Pemvt Sub-type(s): Land Alteration(0-500 cu yc DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 50.00 valuatiou: $ 0.00 TOTAL FEE: $ 50.00 APPLICANT: OWNER: Mr. &Mrs. Scott Hutton - 1835 Shadywood Rd Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS 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. �'►�-4�-✓t/ APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 �0�^'' Ci of Orono �� tY FO 'CI Y USE ONLY n O 0� P.O.Box 66 Date Received: ,7 ' " Permit#�C� 1�' C + �, 1� 2750 Kelley Parkway `"� • ?C`� �1 f�f.'- �1 Crystal Bay,MN 55323 �, 4G ���\'��'�ryx�v f� (952)249-4600 Amount: $ � C.U.P Filed: � � "�O$� �-`y' /`!��G1c Approved By:�/� Site Pla�: Recommends: A roval Denial ❑ CITY OF ORONO - USER DEFINED/GENERAL PERMIT (All permits must be approved by the Building Official and/or Zoni�g Department) Job Site/ Owner Information: Site Address: __ �`�J�`')J `����1�(iv] �C�l��l �(J�� � Owner: ��lik'r�� `l �.�G� t'I�l'��� Mailing Address: S 6{�� Ll� �l����, ��ty: �rv�� z�p: S�� 91 (������ I-- �'���( � �a ��5 -�-�� Home Phone: Alternate Phone: � � Contractor l Applicant Information: � ��� � Contractor/A f�t�� V v���� pp.: Contact Person: Address: �����,Cj,V` V��'�� State License #: � City: �1;��� 'U� Zip: � J�Yj Expiration Date: Phone: _`�l�`�" ���� � �U �Q�I "IX� Alternate Phone: TYPES OF USER DEFINED PERMITS ' ❑ Stairwa_y to Lake ❑ Retainin Walls ❑ Temporarv Trailer General—User Defined Surcharge General—User Defined Surcharge General—User Defined *(Per UBC) *(Per UBC) * $30.00 *Estimated Cost: $ * Estimated Cost: $ ❑ Docks—42"ar Greater � Land Alteration ❑ Zonin�Review General—User Defined Surcharge General—User Defined General—User Defined ❑ Commercial—(Per UBC) �0-500 Cubic Yards *ForO-7S Zone-$30.00 � Estimated Cost: $ $50.00(Needs Site Plan) General—User Defined ❑ 501+Cubic Yards ❑ Residential- $30.00 $50.00(Needs C.U.P.) ❑ Tree Removal General—User Defined * Within 0-75' -$30.00 I herby apply for a User Defined Permit and I acknowledge that the information above is complete and accurate;that the work will be in conformance with the 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. �C � �� 7 '3 � � v �-l� ��- Applica ,� . 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