HomeMy WebLinkAbout1993- 005781 - temp sign PERMIT
CITY OF ORONO r PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number:
Orono, Minnesota 55356-0815 Date Issued:
(612) 473-7357 ii/79.193
SITE ADDRESS:
2160 WAYZATA BLVD
LSV
P . I . N . ;
DESCRIPTION:
4X8 TEMP SIGN
Sign Permit Type TEMPORARY
Sion Work Type C:OMMERC:I AL
Message
CINDI NT_S
REMARKS:
NO MORE THAN 4 TEMPORARY BUSINFSS SIGN MAY RE ISSUED PER CALENDAR YEAR FOR
NOT MORE THAN 10 DnYS OR DURATION !.:V" EYCNT CLING PRONOTFD, WHICHEVFR IS LESS.
FEE SUMMARY:
•
Base Fee
CITY DF MOND
Total Fee $S0. 0n
FLAgAICE 17FFICE
1:f1,3300000
01 GEN ,70.00
CONTRACTOR: OWNER: - Applicant -
WEAR WILLIAM
2160 WAYZATA BLVD
ORONO
FIN 5S3S6
THE UNDERSIGNED HEREBY RFQUESTs PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO ORDINANCFS AND STATF OF MINNESOTA BUILDING CODE REQUIRFMENTS .
L_
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - ByLDTNG PERMIT APPLICATION
Total Fee: $ Date Received:
3G
Date Approved:
Entered By: (-Z-L) Permit#: ()--7k/
ALL INFORMATION MUST BESUBMITTEDChe -IN off FULLBG BEFORE P� REVIEW WILL BE STARTED
(See
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: >/e O GL) CSG( - ZIP: 1/43-6-3
(work)
NAME OF OWNER: PHONE: (home)
MAILING ADDRESS:
CITY: ZIP:
CONTRACTOR: PHONE:
MAILING ADDRESS:
CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : lc N ✓ ,,,/7 (;/Avc J AKA/./k
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
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 SIGNATURE: c x� �-- DATE:
CITY of ORONO
CLTY Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
OF
�ROK6 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 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. 13.04 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
W Q/7 f2 -e
First Middle Last
Address /,
City State Zip
Phone
I understand my rights as stated above.
c_
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING