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HomeMy WebLinkAbout2000-P02888 - temp sign PERMIT C I?:Y �F O RO N O Permit Number: 2750 Kelley Parkway- PO Box 6� P02888 Crystal Bay, Minnesota 55323 Permit Type: sign Permit (612) 249-4600 Date Issued: si3tioo SITE ADDRESS: 1449 SHORELINE DR WAYZATA,MN 55391 PID: ii-ii�-23-2i-000� DESCRIPTION: Proposed Use: Commercial Permit Class: General Permit Type: Sign Permit Permit Sub-type(s): Sign-Temporary DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: ��� rrrc°-�--� ,��-i.��-✓t-- `� ��'��r�-<c-� ��� �'..�2 c��C.�¢.�-,.,�-�2�� Ri.,.,,.,ro rl.�„ � ro.,,.,.,,-�,-.,1.,,�;,,o���;..,,�,,,�.,ho;��„a.7,. . ..�l0,,.7�r.�.r l..r.,�r;;,,..p ro.,,,;ro.l\f;r,,..r � or _',t� Signs r��'-'Ad�'����et'fi�.�`��[����'�'�i �,C���d�����.-nt haina rn,rmm�tarl �xrhirha��ar ic lacc. � FEE SUMMARY: Valuation: $ 0.00 �J�� v TOTAL FEE: $ 0.00 APPLICANT: KIN�s covE OWNER: KIN�s covE 1449 SHORELINE DR 1449 SHORELINE DR WAYZATA,MN 55391 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 BUII,DING CODE REQUIIZEMENTS. ����,, , 2 _ ,�,,� ����C_ /''� � ' �� `� APP ekid�' ERM EE SIGNATURE ISSUED SIGNATURE l Copies: City,Applicant,Assessor,Finance Page 1 , ' Total Fee: $ Date Received: Entered By: Permit#: -f C ' `��''=�`Y� CITY OF ORONO - BUILDING PERIVIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: ci cle one), OWN OR CO TRACTOR �� ��� /��.j��� w����.� _� JOB SITE ADDRESS: � `��i��i����^� f�-f-. ��� ZIP: �✓ f r� NAME OF OWNER: �/ _ PHONE: (home) (work) . ��/ � 7 � /g� MAILING ADDRESS: �f �/ CITY: �p ��� � ZIP: 5��'�� CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: M.�ILING ADDRESS: CITY. ZIP: rJ��; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration � PROPOSED WO ( escribe in det il��� �`��� S`6� / �%�� ,� � � STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. EST�VIATED CONSTRUCTION VALUATION (excluding land): $ I hereby apply for a building pernut 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 ac rdance w'th the approved plan. AP PLICANT'S SIGNATURE: ���3 � � 2%�--- DATE: � �� � NOTE! Parade of Homes events require separa e permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. . Sec.13.04 RIGH'TS OF SUBdECTS OF DATA Subd. 1. Type of data. The rights of individual on whom[he data is stored or to be scored shall be as set fotth ia ttus secdon. Subd.2. Information reqirired to be given individual. r1n individual asked to supply private or confidendal data conceming himself shall be informed of: (a)che purpose and inrended use of the requested dara wichin the collecting Ytate agency,polidcal subdivision,or sratewide sysum; (b)whether he may refuse oY is legally required to supply the requested data;(c)any lrnown consequence arising from his supplying or refusing to supply private or confidential data;and(d)the idenrity of other persoac or enrides auchocized by state or federat law to rcceive the data. This requirement shall not apply when an individuai is asked to supply invesdgadve dare, pursuanc[o secdon 13.82,subdivision 5, to a law enforcement officer. The commissioner of re�enue mav place the nodce rowired under this subdivision in the individual income tax or propertv tax refund instcuctions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her ic is class�ed as public,priva�e or confidendal. Upon his further requesc, an individual who is the subject of stored private or public data on individuals shall be shown che data wi[houc any charge to him and, if he desires, shall be informed of the contenc and meaning of�hat data. Afur an individual has been shown the privare data and informed of its meaning,the dara need not be disclosed to him for six months theroaftec unless a dispute or action pursuant to this secdon is pending or addidonal data on the individual has been collected or created. The responsible au[horiry shall provide copies of the private or public data upon requesc by the individual subject of ihe dara. The responsible authoriry may require the requesdng person to pay the actual costs of making,cerdfying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,wirh any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individuai,and may have an addidonal five days within which co comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is aot accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individuai shall nodfy in wridng the responsible authoriry describing[he nature of the disagreement. The responsible authoriry shall within 30 days either: (a)cornct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data,including recipients named by the individual;or(b)nodfy the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statemenc of disagreement is included with the disclosed dara. The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the adminisuadve procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Riehts of subjects of data",we would like to inform you that your request for a pemut or license from the City of Orono or any of its departments may require you to fumish certain private or confidential information. You aze notified that: i, 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 pemut or license. 3, The information may be shared with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5, You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. 6, Your full name is required to process this application or permit. First ��d� Midd�e ��j��`,(/,!/D /�/` !/ Address � �� ��GLfi i��i� -''`� �6�� ./ i /l / 7` /` m�r�� City State Zip Phone I understand rights as st ed abov . `�,y� Signature