HomeMy WebLinkAbout2002-P05916 - temp sign CIT� OF ORON PERMIT
2'�6Kelley Parkwa - PO BOox 66 Permit Number: Pos9i6
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Crystal Bay, Minnesota 55323 Permit Type: Sign Permit
(952) 249-4600 Date Issued: i2iisi2oo2
SITE ADDRESS: 3333 Shoreline Dr
Wayzata,MN 55391
PID: 20-117-23-11-0024
DESCRI PTION:
Proposed Use: Commercial
Pernut Class: General
Pernut Type: Sign Pernut Perxnit Sub-type(s): Sign-Temporary
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 0.00
TOTAL FEE: $ 35.00
APPLICANT: Owner/Self OWNER: Rick's Super Value
M� 3333 Shoreline Dr
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 ORDINANCFS AND SI'ATE OF
M T ILDING COD Q�IREMENTS.
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APPLICANT PERMITEE SIGN RE ISSUED BY E
Covies: 1-File(Si�nitures Required), 1-Aunlicant, 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1
Total Fee: $ Date Received:
j , �Entered By: Permit#:
CITY OF ORONO - BUII.DING PERMIT APPLICATIOleT
All information must be submitted in full before plan review will be started.
" (please print all information)
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: �J�/ ` ZIP: �S^� ( �
NAME OF OWNER: 1 IZ� � YI? /� PIiONE: ome �/ �''����
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� (work) �'SZ —y 7/�f�/7�
MAILING ADDRFSS:'�J 6 ��� ��"l CITY: /����x� ZIP: �-S^3 j Z
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESSs CITY: ZIP:
STATE LICENSE: �#
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New � Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: ��-� L-/�oi�L_S � ��%� /�_
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION(excluding land): $
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 the ordinances and codes of the City and with
the State Building Code; that I unders this is not a pe ' and work is not to start without a
permit; and that the work will be ' ac an with th roved lan.
` �� —/�'�D�
APPLICANr'S SIGNA A�:
NOTE! Parade of Homes events require separate p rm approval by Police Deparlment and
City Council 60 days prior to the event. Non permi events will not be altowed.
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Sec.13.04 RIGA'TS OF SLfBJECTS OF D?►TA
Subd. 1. Type of data. The rights of individoal on whom che data is stored or to be stored shall be as set forth in this secaon.
Subd.2. Information reqirired to be givm individual. An individual asked to supply private or confidendal dara concerning himself shall
be informed of: (a)�he puipose and inrended use of the requesced data within the collecting state agency,political subdivision,or satewide system;
(b)whether he may refuse oY is legally required to supply the requesud data;(c)any lmown consequence arising from his supplying or nfusing to supp(y
privau or confidential data;and(d)the idenriry of orher persoas or endaes aurhorized by state or fedecal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesogaave dara,punuant co secdon 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mav olace[he noace rewired under this subdivision in the individual income taY or propertv taz refund
� insttuctions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a respoasible authoriry,an individual shall be informed whether he is the subject
of stored data on individuats,and whe[her it is class�ed as public,priva[e or co�dendal. Upon his further request,an individual who is the subject
of stored private or public data on iadividuals shall be shown the data without any charge to him and,-if he desires,shall be informed of the content
and meaning of that data. Aher an individual has been shown the private data and informed of its meaning,the data need not be disclosed to 6im for
six months thereafur unless a dispute oc acdon pursuanc to this secrion is pending or addidonal data on the individual has been collected or created.
The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority
tnay require the mquesting person W pay the actual costs of making,certifying,and compiling the copies.
The responsible aurhoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or wittiin five days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possibte. If he cannot comply with the request
within that_tune,6e shail so inform the individual,and may have an addiaonal five days within which to comply with the request,exciuding Satucdays,
Sundays and legal holidays.
Subd.4. Procedure whea data is not accurate or complete. An mdividual may conrest the accurdcy or completeness of public or private
data conceming himself. To exercise this right,an individual shall nodfy in wridng the responsible authoriry describing rhe nature of the disagreement.
The responsible authoriry shal(within 30 days either: (a)correct the data found to be inaccurate or incomplete and aaempc to nodfy past recipients of
inaccumte or incomplete data, including rocipientc named by the individual;or(b)notify the individual that he believes rhe data w be correcc. Data
in dispute shall be disclosed only if the uidividual's statement of disagreement is included with the disclosed data.
The determinadon of the responsible authoriry may be appealed pursuant W the provisions of the adminisaariv�procedure act relaang to
conusted cases.
DATA PRIVACY ADVISORY
� In accordance with M.S. 13.04,Subd.2, "Rights of subjects of data",we would like to inform you that your request
for a permit or license from the Ciry of Orono or any of its departments may require you to fumish certain private or
confidential inforination.
You ue 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 Ciry deny the permit 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 Middle Last
Address
Ciry State Zip Phone
I understand my rights as stated above.
Signature