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HomeMy WebLinkAbout1994-005976 - 4x8 sign PERMIT ,�� �RONO PERMIT TYPE: �=����"Y 2750 Keiley Parkway • P.O. Box 815 �'���`='��_� Orono, Minnesota 55356-0815 Permit Number: �y::;j j�.;_;!�� (612) 473-7357 � Date Issued: SITE ADDRESS: ._��.:��� ��;;-����;:�L_�C�dr uf; �:�i-: . . d . �4 . : _�i 7"'1. ._ _.. _: " _.�. �_j{j.�'�_, DESCRIPTION: y.�I_.Y, ,_:���� _�z��=���1 �='�;��€r�i�k• i y��� F'!��°tt�t���l`flF'i����'TE.� �:j,�f�rx ;���t'�:: �l��fi�t� =:It�� !�:-t���•1-� �? F�i �:� .Etv Ft"��3.'��:-�, _ �� `� .��i i��`=s=i�t= tVt�;�;'t�L`.!-�.� �-'�:i�! t 1 t`3l.�:'3-'(-1�•:�. �_�� +�i��•':_ REMARKS: ��a%= u� i�'�L�:� _ :.__ . . _ . r.. - - - - - - - - :.��_:': ;:';: '-•''* i:-; I - - - f': ' �,?z'` - - i ' 1 i'�iiiii.r.i vi�ii.i � �c: _. . � . , . • ,,�._: . .. � , ::.;: ._�i�__. . . . _.. .. ..... . _.. ._.'.i'��. _ _.�`i . i 1 �-• : �,:.�� - ��.: _. ...E�. . .;:�. � � . , .. „. : , . :-. � � ,: �, � � - . .. ._. ._... _. _.. _ .i,:ri,.j.rvu�rlvv} n - i%i u�it .i..�i �v FEE SUMMARY: `��"`�'� '�' `r '"_ 1..•ltLL•!1 !6 •17V t��L J'i�!f}_'l'l.fhit!%+' V!il! 1S1�4t1! ! 1/l17f7l1 1 L'V !f'!tit!Li.i} !'ti!!Y i'JflT i 3 ta�.'i �_- • n.•..irt1.'V 4VVJ llVl !iJ•y'1 <��� �'M� __._�.._.---�''`a��'-sii i }, 7 '4 i'1V!i::t �{i t.:�i E ��-++F=� .a..1r. ��Et� Vi.�J a:.L'f f�! -N�l'4 . CONTRACTOR: i�,�l{1��: F'k I�I T i i�1� -. ..- :_�h�_��;�L�'f1iF� 6::}Ft _;:;�_:�:ia� t°1�� '��::�':�'.� _j, T, , _ " "�.F F �LIL, i t?��M.t>�j.r..�i�3��a _ _: :.. . .. ._ . __ ;_._. . ..._ _ _. : ... `_ � � : ,'� . _ . .. _ _. � _. _ . . _. . . . .� . ._... . ._... ._,. _ . . ._ _.... . .... . _. },� p��= S _ �., �<t � ��f�`� .i•`{�F�� il�•.F-s{ t iv_:;i E �. .'t_•�� �.�'��� �'-.`�':tl� '-��7i"�,.�.__._ i I_; i��E_ . .�_4._ i:41�_"`�i�. ��. �•�j' :t_ � r.l_�i'i���.E L3r'��i�_ 3,•-'_.�`;" . ...._,.... i�. _ ! t: !_�}' .,_���,-3 .. _, p -- - q - - - - - � ;..- - i-� :;i�. i_i!"{1:T F:�,�kl�?..•C•:. '4`�.. _ . . . . .,.. _ . . ._. . .}. :,1„3�i ;�j r.i 1�i f}i f`ai{- .f 1i 1'- ;'ii' ..._ . . � � ���� Y v .•�APPLICANT/PERMI EE SIGNATURE ISSUED BY:SIGNATUR� d t'--�t � �� � • ���� . CITY OF ORONO - ����G PER�SIT APPLIC�TION � Date Received: Total Fee: $, `�'`� ��' Date A�oroved: ' Entzred By: �',�t - Permit= ';`j '> �' A7'T' INgpRMATION MIIST BE SIIBMITTED IN FULI� BEFORE PLAN RE�7IET+1 WIIZ B$ S�AR� (See Check-off List Enclosed) „�E AppLICANT Ig: (circle one) O�dNER or CONTRACTOR Q l�o�� l��.� �� � ��+���� ZZP: s�39� JOB SIZ`E ADDRRSS: 3yy / � (work)(�3�- S�� D NAME OF OWNER: �J(��/� C/v'�L S~"J PHONE: (hcme) �/�S` S � MAILING AnDxEss: / 7�►1 l y� 64V�P /�• cz�: � I•yr ll� zIP: SS��/7 . . . U 7�` � /!a� CONTRACTOR: lUd ��rr� �'��"� G PHo�. MA.II�IIdG ADDRESS: 3`��� J��� l�L.� ��' CITY: /��l/0�(/'l"`P ZIP: SSJ7 ,' STATE LICENSE: � PHONE: ARCHITECT/ENGINEERs MAII,ING ADDRESS: CITYs ZIP_ REGIS�RATION � NAME: TYPE OF WORR: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration S l�j'✓� � � • ' �P � 1 � ��g sl�`'1 (-�l/1 ��r( � � PROPOSED WORR (describe in detail) : �� � �� 1 r 'O ,. �vl c-\ ----- - � , -��-�, dVC� {�� �L'IN� 11'� 4,C1� d T � ti� �� .!,�-6.�F C v L i Gn ;� S . FEET OF EACH FLOOR: /"+`p��Ox �D v� �' �J"'► . �o��l N �/ STOR�ES: 4 NO. OF BEDROOMS:_� GAR.AGE STALLS: ATT. DET. ESTIMATED CONSTRIICTION VALIIATION (eacludinq 1and� = $ Z"�D 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 Co eL�ithaand understand this is not a permit and work is not to start without a p that the work wil 1 be in accordance with the app roved pl.an• � DATE: 3-- � s- �� APPLICANT'S SIGNATDRE: � • Jeu,.` �QUi�s�i'l : �. _ .��� , ��'��' �� O���TO . � 41 Post Office Box 66•Crystal Bay,1�finnesota 5a323•Municipal Offices � � _ � � On the North Shore of Lake Minnetonka _ DATA PRIVACY ADVIS�RY 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 perm ioe license from the City of Orono or any of its departments may req 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 Iicense 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 f ederal. agencies to the extent necessary to process the permit or Iicense. a. If your requested permit or Iicense requires Councis ac��or_ to approve, some information may become public. 5. You have certain rights under M.S. 13.04 to review private data on yourself. 6. Your full. name is required to process this application or permit. JO G, �, � 1/o�-�'P � First Middle Last 3y�1� 5�1��0 �� ►� �� • Address � � v d � � -� Yyl � �`s 3�z._- City State ZiP � 7 � � ��� � Phone I understand my rights as stated above. � Signa ur � • BUILDING&ZONING—473-7357 • ADMINISTRATION&FINAIYCE—�73-7358 • PUBLIC WORKS —473-7359 ASSESSING