HomeMy WebLinkAbout1991-003671 - remove 4 trees PERMIT
C-MY OF ORONO PERMIT TYPE: •� -DE 'I . E
1. c� . �tJ�[-
1335 Brown Rd. South • P.O. Box 66 Permit Number: 6, 1
Crystal may, Minnesota 55323 Date Issued: 0 :=•_r%='+;1
(612) 473-x'357
SITE ADDRESS:
120S TONKAWH" RD
T1 N
F . I . N . . 81-172-31-30-0180
DESCRIPTION:
REMOVE 4 TREES
t_tsea, Permit Ti �r TREE REMOVAL
t::�1rrsrfjent #1 � �„ t 3 - �' ►r�tE
_wo
t"� �� a
r � a
OF 0h,0AID
y 2u v 5iu;•�01a��
rr w 311WVo&QEj.1PT-THAW
ri
01
0111 vv
41: rif Of T#. sf
REMARKS: r
'J:/C'= 710
FEE SUMMARY: "
Ease Fee -----___ �
Total Fee $30 .00
CONTRACTOR: OWNER: -- App l i c an • --
THOMAS
120S TCINKAWA Ra
ORONO MN 5. 356
471-7651
TI ;•- +:ter-:-,—...-..+i +--+-:f•-;-*, ?^,t--'•t *- - t-+�.. ! 'T• ,.} rAl -
i
In !Ji��l-c1� -Ds!.�4sED I1E'- 'macf ,•, !..':7� I == E'"cro�I-::-DiI_IN �O s j*.-:'E �Ii:_ R..irAL i
h
i- :F'
�'' i T T +'
•�+ �..�.J
UW1 f-'Fl�!I"4G..r,._. � i 1 i:t c 4—IZ L_ t1�—'�:r••. l l�� •..+ ! X11 L.. I �.i_i{'ji'-' iyC•r ; � t.•j t 't i EC'
A.1%0 �e v`" t 1 i i�il�l1. •�+i_° S hi i =iJ 1 LID i NG; 1, r.0 � .
APPLICANT/PERMITK S1J1WAJRE ISSUED BY:SIGNATURE
�a dd 9i
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: Date Received:
Date Approved: rC( T
Entered By: N
Permit#:
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: f,wo g— ZIP:
(work)
NAME OF OWNER: 1a PHONE: (home) �lO
MAILING ADDRESS: �� ��/� CITY: d ���— ZIP:
CONTRACTOR: PHONE:
MAILING ADDRESS: CITY: ZIP:
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration_
PROPOSED WORK (describe in detail) :
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 1!
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
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.
APPLICANT'S SIQNATUjkR,:— DATE:
please fill out the reverse
side of
this form)
00
CITY Of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
A _
On the North Shore of Lake Minnetonka
DATA__PRIVACY ADVISORY
In accordance with M.S. 15.165, "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 permit or license requested.
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 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. 15.165 to review private
data on yourself.
6. Your full name, and date of birth are required to process
this application or4permi . .First Last
Address
City / ✓�/ Q l State Zip
�! /_--
Phone
I understand my rights as stated above.
i ature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473.7359
ASSESSING