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HomeMy WebLinkAbout1992-004264 - temp sign �,,� �ERMIT � ���� OF ORONO PERMIT TYPE: - 1335 Brown Rd. South • P.O. Box 66 Permit Number: ������ Crystal Bay, Minnesota 55323 Date Issued: t?�./1�/'�� (612) 473-7357 SITE ADDRESS: i'3�� :�H��RE�It�tE D�t .�� F'. I .fV. : 1Ca-1 i7—ij-4�—ipz:jl� DESCRIPTION: TEi iF' :�:i Gi'a :=�i�n F`errnit T:�F�� TE�°#�'i:��'A�'Y '_;i��ri W�_��'k: T Y F�� :T C�hd ���i���h 4 FT +; IN H�i�t•t-� �s��- ° �; r�� �r,w, � FT t:} IN a$� ,� �� � � � � ,�� �� � "'�p���'�� ����:���� '� ' ��> u° z�' � rt $ � � � �c� � � ���"�M ri���� �>z »���ro ��w�,i �.` s� �,� � �'� ���µ � -�`�� ����� ,ra�i4i;��e MN���������6 � . �Y � '�� � •s,� . �4r* �,k,.�,�5/���yr�55d� � ,.��,4 .. ti . �.���i:, 4f �^!�"�..����,n��^�s ,�m � l�V�r ��*'� ��+ ��Y-,�,: � .,�' �t ��" .� -�° �' n � � �������� ����� � d o 4�y���� . ,- � �''���" � -� qt � y� „JJNry"h,' w w� z�� �'� ' s� �s�`�*� �,,��. � -�,.�'�`+�a ,�'� '� �w ,�4 � . �F ��s �y?„��� ` �s, �m"'1°P � :`'kl� °' �� . '�r�'N z ��, ,�,r x b�,y�,� �_� ar� � ;� �� Mar . �'���������- ,�Nw� � „h� � �- �.n �` �`"x _ ��'"�t REMARKS: IV�i h1�:1F�E `fHAi�1 4 TEMF'i�i��Rlr' F�t 1�_:I tdE'=;:�� `�i�N'=, i1�Y E�E I'=;'=:t.1ED FEFc GA�EMDAF YEAFi ��ii=�T ����"iE THF1iW 1 t� �AYL C�R �:tIJR�#T I�=1hd �=�F EVE�IT E�E I i`J� �►=i�r�M�.�TED, WH I�:t-4EVEFi I�: LE�::=: i FEE SUMMARY: VALx jAi'I�+N �i , �?s a�:� E�c�3lSC Ft�C --------�i�{}y�)l�} ��!�.dl Z �CC �i.j(�) ,(){� !•�;;•� ,-:i -.—.�fiii� 41! ! IJ! VI5'L�l�V �:������f �F�F�Gf 1 i i�ir't��rli�li � 1J1�+.1V VVV }�L( v i vi ij ,.'��%.vv L•I�LYJ\• �6 4 L�I l/�/ ICi�ii�i_�i�niY�Z i�tiu� yz7%i'�� r�i t'!!f 3+ i+'s1� iiL,�i r c�r �.{i�� ii�v� �31•{r-t ft,� i i i{O' V f 1V1 Ji CONTRACTOR: F'�' z c``n . — 1��L�� W��RLD ttAFi I NA E.+��X i 7�� �:hY:=�TAE. EAY M1V �S�ti•J �/�'�_:—�;�"��,: __---._ __ _____ ___._ _ _ _ _ ____--- — ____ iNL ���ii�E�_�I ut�iEQ 1-{i`�E E,Y �t.c;Ft 1F�_,���� �°�Rt•i I _._:i��N Ta+ h1r�°r�::E Tt;� h�AL I i�1F'R+�1VEh'iEidT`�, :-:F°��:�F I E.:Cj A�'J�i Ai7F;��:=� 7��:� [>�_� F;LL 4�f=��it�:: I i4 :��Ti;I�:! C:��?''{F'L I i'-iNt:E 'v1 I TH �LL t�:I T 1' ��►� i ak�_i�•���i i�iC;l�i�d�r�'�i:�`�� r���{(� ::��i��,�c tai= h1 I i�1�1�E:=:i►��"A �;�.i I L_i�I i�1U �:i�il1� C��:�x_j I�iEh1�EVT:3 . � APPLICANT/PERMITEE SIG ATUFiE ISSUED BY:SIGNATUR fICJ � CITY OF ORONO - BUILDING PERMIT APPLICATION '�}>-� �~��-� � Total Fee: $ - �- ����ti- Date Received: '��' �a- Date Approved: Entered By: ��`` L� Z��+ � Permit#: 1 AT•T• I:NFORMATION MUST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BS STARTED (See Check-off List Enclosed) -------------------------------------.-_--�----------------------------- -- THE APPLICANT IS: (circle one) ( OWNER -or CONTRACTOR JOB SITE ADDRSSS: / �;�=� `%i�z�'f� ?ti� L�C' ' ZIP: -_ - > `l % ���� L.."- ,,� (work) �1 7� �'`��� �, .-��"G�� . 4 �_ �, � Cc-F.�'�p �i�t��/� d ��'c���T ��v�'� PHONE: �home) / �� S Z �� NAME OF OWNER: r z1��� _ MAILING ADDRESS: ��"k � ��.- CITY: C�,'rr�� ,`.'%1�/ ZIP: '��"?.? __ CONTRACTOR: pg��� MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINE:ER: PH��= MAILING ADDRBSS: CITY: ZIP: p�g: R.EGISTRATION # � TYPE OF WORR: New Addition Accessory Structure� Move Demo Remodel/Alteration Renovate Land teration - PRO�OSED W (describe in detail) : ��l'T % i � :-�i`-'�''�%�'r S�����' 4 � ���`=�T7�L , STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: G�1R1fGE STALLS: ATT. DET. $STIMATED CONSTRDCTION VALII�TION (escluding land) : $ I hereby apply for a building permit and I acknowledge that the information above i�, 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 undeistand this is not a permit and work is not to start without a permit; and that �the `work will be in accordance wit the approved plan. ',/ t / / r � �"� APPI�ICANT'S SIGNATIIRE: <� / ' C�/�� DATE: /� l '��_ ' � - � �j~� � �` �� CITY of O�iONO �. � �..�� . .,�,�.� �� 5(M Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices • s� - � � 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 3ike to inform you that your request for a permit or Zicense from the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The information you furnish wil.l 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 Iicense. 3. The information may be shared with other Iocal , s�ate or federal agencies to the extent necessary to process the permit or Iicense. 4. If your requested permit or Iicense requires Council ac�ior. to approve, some information may become public. 5. You have certain rights under M.S. 13.04 to review private r data on yourself. 6. Your full name is required to process this appl.ication or pe?-mit. -� C l`\� i__ Q �� � ME2 �'iG S�l t C�i�c, C� (w2GL� A'�Iv'��rN� .� 1 First Middle Last � � '���t�l-�Gti� l���X � � � - Address �� �; �r � �7" �� 1 �. '; , , ,�`� �% -J", �--' �> "', Ci_ty tate Zip <�� ,� 7 __ � � �� �� Phone I understand my rights as stated above. -�i > ,// (��/ �./I � " — - f ^<<- ' `-� Si a- ure � BUILDING&ZONING—473-7357 • ADMINISTRATION&FINAVCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSI'VG