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HomeMy WebLinkAbout1994-005925 - temp sign PERMIT � L� OF ORONO PERMIT TYPE: :=�= �-;:�' , 2750 Kelley Parkway • P.O. Box 815 �:�i:.`-_���:�;:; Orono, Minnesota 55356-0815 Permit Number: �«�^, (612) 473-7357 Date Issued: ' � 3 F��--�� SITE ADDRESS: t� } �_,i C i i if;t- i i� i}�+; .:�-F•.��-.� �'(i�i L..L�. �4S_ � .. '"� . t 4 . . ���.»..'� '� �___ j.... _ _ �. _ ' DESCRIRTION: _ . . . . _._ _.._... . - - .. - :... ;.:...:_:... ;. ,:,.._. :..:-_ : ��� -.— i i i%r— iYi 4_�etU ! 1 Tnl�LL �.4!3 LtL ._sJl.rIN1�YV�YV} ) u1 VL1T� i'1%a L V i_IslLL�• 1-1. .jV a Vtl 1tLLrL7.!£T�f�i'•hilii� .''_�ii ___ ,. . ,-.-,- _ - tIt}a?i, !Y_. . 1 Vi� 1_�.%:%.L .. !iL'•i.� '__"__—___'__._—.._...__""__'___"_—..___..._ _._._M�_'___..�..__.___�__._._.._..._.__,..s RL�/1���. .. -..�.i. �.Jt����t�'�'. 1��' f.i�`;}'�_ f"'..lu��i� _ _..� } "i�L.L. .. FEE SUMMARY: : :._ .._... -- �,-,-. . : -._.�.__�_.. �..�-::�1 �...,;, ���y �...:-...:._•..� . -...._ .....�.�..�..._..�_..........�:..�i�.A.i .... . � .... � . .. .. . .. . - .T� _ ��} �_a(y. . , ... _ _, ._....� . :..:... , �. — . • — ——• CONTRACTOR: _ . �n1�1�1�t.. . ... ._ . �y�E� i:-. _�-- � _. ._,,.;�_:. �;;�F:� ��{���T�''� _ .._ _.w,_ . ._ .._. -� .._... _ _ .._ t 1!���_� �-;�'�l;�j:r:. �:�r� .�"5%��,°�� . _ _. __ .-,- -7'=;�- __...._._ �,.._... .;i -� �- �,,-._..,. ,._,.. --�-� - - r - - - : . i�'�!�f {'..' 1 ._ ..:: ;_� �_:'``.��i��: �; ; !i .� ..�_. ._ _ _ ,_i^{F1�}..,.T[N £:'. .�. . .__ ._{'''�c.. � i.. :''.�°��;;���`i�'_�'�:T�_ � . _._ _ _ .. .. .__ __ � ._ �- `i H {��- . _ ,.. _ . _. 7 �:_ .�..... !.. � t�� i'�:L;� _�_t,:-I".r.s-. •i E,f ;� �... .i_��. � ;+r,:i��.C�,. . _.. -.i.. . .. .�.F. E .._i`,�=`1 ;t`.�f.� 1;ci: . . . ...... .. _ T . , t..L' ..._... . .___.. . r , St^.. f���` �. �� �.�,�,3f,; �..�.,''"p`t,{;"•.}.;�''��__�. t'`�;_"; . f 6 i. ' � t�t� '"'�'i;yia�"""'� +.�.~.. xt �.3. r . .. , _.,.. . �•�,1� s._:±�•.: rl .: �_� . . . :.-. .__- '...at��..:__ .._. ?�; r_. ?.'�..__�::.. ._. .. � _ � F, _. .`.�:._(ta '_ . ..�. ... .. .......__ .. --.. ...._.,.�.._, .. . _._... . .... ._ J L . ._., ,_.. . ,_ . �_ _ _ _.., ..._�. _ _ __.. _ _ ... _.._ . _ _ . __, . . . _ .. --���� �-C.t� . . -���_ APPLICANT/PERMITEE SIC,NATUf�E " " � - - -.— — % � SSUED BY SIGNATURE ��� — - ---- —. --- -- �+.� — � _ _ CITY OF �RONO - BIIILDING PERMIT APPLICATION �� --� � Date Received: Total Fee: $ � Date A�orove�: ' �J - ` �r / Entered By: , � Permit�. ,_`����� ! �" F ii 1 �j �� �_; J __ . AT,T• INgpRMATION MIIST BS SIIBMITTED IN FIILL BEFORE PI.AN R��7IEW WILZ� BE SgARTF.D (See Check-off.,_List Encl.osed) ' �>------ ----------------------- ----------------- ------ --- - 3'HE p1ppI,IC�,NT Ig: (circl.e on�) OLVNER �r �TRAC^_'OR JOB SITE ADDRRSS: �`� Jr� �✓�'��rC ' � / � ' ZIP: �� - �1�� ,r,, (work)�� ' - - - � � %�����--- — : (h ome) �i ' 7��� NAME OF OWNERs �� " , ., , ///� /' ` r-, �' ,-. -/� —______----- - - - - /�`�/� /� �� � � � � ZIP: �S% � 1KATLING ADDRESS� �(y`�"(/ u� �i��� ��'!`'�CITY: L . �� � __ PHONE: CONTRAC'rOR: -� �� ,/J�� � CITY- -��.�7�� ZIP- ������ MATLING ADDRESS: 7`/ � STATE I.ICENSE: � PHONE- ARCHITECT/ENGINEER: MAILING ADDR.ESS: CITY: ZIP: REGISTRATION T NAME: TYPE OF WOR.R: New Addition Accessory Structure Move Demo Remodei/Alteration Renovate Land Alteration - ��Z,�;,� �� ��2� ,L-,� .��,.� /�' �C�� PROPOS WORK descr' e in etai ) ' � ,��/ ;� L,�,, �� - < " �c; � _ STORIES: SQ. FEET OF EAC.S FLOOR: NO. OF BEDROOMS: G.ARAGE STALLS: ATT. DET. ESTIMATED CONSTRIICTION VALIIATION (eacluding land) � $ I hereby appl.y for a buil.ding permit and I acknowledge that the information above is complete and accurate; that the wor will be in conformance with the ordinances and codes of the City and wit �he State Building Co eT�i haand t to start without a p understand this is not a permit nd work � '� roved lan. � that the work will be in accor ce with e PP P �, �,'� DATE s � /" —/� APPLICANT'S SIGNATDRE: ��'����� �� .Z-��' �t . _ . � ,� - ,��, 15SU-e -�, �- E�j�2 L-�s io /��ys , ; M`- � � � D �� _ . i r �- �' - �'��' �� ���NO � W� Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices . s � e _ � � 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 Iike to inform you that your request for a permit or license f rom the City of Orono or any of its departments may require you to furnish certain private or confidential information. - =r�li ure netified that: - . . l. The information Y e�t or Iicensebrequested. determine you�— aual.ification for the p 2, You may refuse to supply data, but refusal may require that the City deny the permit or license. 3. The information may be shared wiyh ot�her Iocal , e�it or f ederal agencies to the extent necessar to rocess the p license. 4. If your requested permit or Iicense requires Councii ac��o% to aporove, some information may become public. 5. You have certain rights under M.S. 13.04 to review private data on yourself. 6. Your ful.l name is required to process this appl-ication or pe_ t. _� / � 1 � � J�y r���s�,� First Middle Las �c� � C��������-L����� ��� �'���= s, _ � Address � /f//l' �' ;� s- ���J� s � -/ f Cit State Zip �/� - ��/- ���.� Phone I underst my righ•ts s d above. / / ' , � �� . �, �, �,;+��� - ,�.,�i'�`��''���-- Sign tu e � ! BUILD[NG&ZONING—473-7357 • ADMINISTRAT'ION&FINANCE—�t73-7358 • PUBLIC WORKS—473-7359 ASSESSING