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Home My WebLink About1995-007542 - temp sign � PERMIT : �ITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 �'�.-��:� Permit Number: '�;�t.;:� Crystal Bay, Minnesota 55323 � � _ (612) 473-7357 Date Issued: SITE ADDRESS: - - �—..—.-- � - .—. .-. . ._ _ .=:y!_�:-.�.___�;�: ..�;; �:: - :� : -,.: : - - - - ;.:.; ., ,._.. , : -- -- — ':t; - DESCRIPTION: -�-�::<:_.; - _;i :�E"i . _i'i!i 1^�!�'- ;�,' y. _. _. ...,. t��°�i�'�_{F1•j�',�Y� -;-t .,'^!!� ..i_i!'r, f V�..�1;,'. _, �,t_i:'ti REMARKS: ,.. _ _ ._:,_. • � .. � _ __ , _ ,—:• r = - — , _ . :..'; .�... . .:�... -:- . :._. ., f�ri�iY _'_ .. _ . ; L .!: ... � _ _ ._ .. _ ..._° . .._. . . .._. . ,... . . . _. .. . . . . ..�i ! ! :�ti ' p.. . : � JE":. _ __ '_ �" �•_.:i _ "_ _ _ ,:, ; .. 3 ii— i'.it—;�: : .. . .� . _ Y€-.. . _ ?_:e _. . ... _. . ._..__. �. FEE SUMMARY: ==��=-- � =�' ____--.__._ ''�;" `�''—�.s I'� .::Wi;. i=:_..c� � — - • "-a`-' CONTRACTOR: OWNER: _. ; :�;� : � ;.;�, . .. _ _ . �_� :. _�!.._ _. _ . _ ......_ _ ... ..,,.:;,,.., ::;�.:; s F;�-.l..� _ f,-i�.,: _ _ . ._ . '.�. _ ._ ._ :;,_.; ,:,:: ;-irs� 3LL3� ��3��=�t"3�3�l� 1-��1��''i� 'c...�.?'.?�;;.—•��: 't ._ . �:I��$ �'�� a; . _. .:-�� I;`�{''��,.��I`' , �a��:;��A� ��#� fi�i��E� �'�� £��.� �?ly,�:: ,��..r.:: �;�� ,�.�f'�i`°I�.� �:��'._. .: � t�S T��-i �L�. �`' ..�;�J�d�"i ��h�I��'��E'�� 1�� `�`T'�3� "��` �`�C{, .y_ ..�.�� t�r;. ._ . .� w ? �'_ �`��:�':1 i��triF3�T��' L �° �-c�� APPLICANT/P MITEE SIGNATURE ISSUED BY:SIGNATUF ' Total Fee: $ DateReceived: DateApproved: Entered By: Permit#: CITY OF ORONO - BUILDING PERNIIT APPLICATION ALL INFORitiIATION l�1UST BE SUB�iITTED IN FULL BEFORE PLAN REVIEW WILL BESTARTED ----------------- --------��-----�---------------------------------------------------- THE �iPPLIC�'v'T IS: (circle one) �OWNE OR CONTRACTOR JOB SITE ADDRESS: 3`11oS S'rx:rc.l �ne_ '�t�_ (\)��-,,`•r� ZIP: J S 3�12- NAME OF OWNER: ��;�:�� '�x. PHONE: (home) �,i� i 'ri�� (work) �l I - �'i`r3�t`� MAILINGADDRESS: 3S`=� �-Y ��1�1c�- CITY: L��z.c��C� ZIP: �'s3`�j CONTRACTOR: PHOiVE: MOBILE PHONE/PAGER: MAILING ADDRESS: CITY: Z�� STATE LICENSE: # ARCHTTECT/ENGINEER: -� --� PHONE: MAILINGADDRESS: CITY: Z�� N��: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move RemodeUAlteration Land Alterarion PROPOSEDWORK(describeindetail): �z,r,��,��'�>r-�-�� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROONiS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excludingland): $ I hereby apply for a building permit and I acknowled�e 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 accordance with the approved plan. �� C�; DATE: I f- 1-7-�S` APPLICANT'S SIGNATURE: 'r��%..�. r% NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. . Sec.13.04 RIGHTS OF SL7B.TECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forrh in this secrion. Subd.2. Information required to be given individual. An individual asked to supply private or confidenrial data concerning himself shall be informed of: (a)the purpose and incended use of the requested data within the collecting'state agency, polidcal subdivision,or statewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any Irnown consequence arising from his supplying or refusing to supply private or confidenrial data;and(d)the idenary of other persons or enriries authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or propertv tax refund instrucdons instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public, private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals 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. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this secrion is pending or addidonal data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual costs of making, certifying, and compiling the copies. The responsibte authoriry shall comply immediately, if possible, with 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 individual,and may have an additional five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing[he nature of the disagreement. 'I"ne responsible authority shall within 30 days either. (a)correct 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 individuai's statement of disagreement is included with the disclosed data. 'I'he determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to contested 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 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 will be used to determine your qualification for the pernut or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. 3. The infortnation may be shared with other local, state or federal agencies to the extent necessary to process the pernut or license. 4. If your requested permit or license requires Council action to approve, some information may b�come 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 pemut. ��i St2 ( �'-Yl�-�fL_ �C�, First Middle Last ��t � � G� Address �� 1� �'��-) J S�3`�i �1� i — �'7��f City State Zip Phone I understand my rights as stated above. /�.t�<-�<�/ C�J ✓� Signamre '