HomeMy WebLinkAbout1993 - 005462 - temp sign PERMIT
CITY OF ORONO PERMIT TYPE: c-Tr:sm
2750 Kelley Parkway • P.O. Box 815
Permit Number: 00b462
Orono, Minnesota 55356-0815 Date Issued: 08/2S/93
(612) 473-7357
SITE ADDRESS:
2360 WAYZATA BLVD W
R
P . I . N. : 34-118-23-22-0014
DESCRIPTION:
Sign Permit Type TEMPORARY
Sign Work Type SIGN
REMARKS:
NO MORE THAN 4 TEMPORARY RUSINFsS SI6iNS MAY EE :ISSUED PER CAiFWAR YEAR FOR
NAT NARF THAN 10 DAY!.-; nR DURATION AF FVFNT PFING RRnmnTFn WHICHFVFR
FEE SUMMARY:
PPP
Totitl Fee
CONTRACTOR: OWNER: —
STARBURST DANCE STUDIO
2360 WeW7ATA B[ VD u
O,IG LAKE MN SS356
4.49-8944
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT/PERMITEESIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BUILDING PERMIT APPLICATION
t °I) ate Received:
D
Total Fee: $ � �
Date Approved:
Entered By:
) Permit#:
ALL INFORMATION MUST BESUBMITTED
FULL
BEFOREL)N REVIEW WILL BE STARTED
( off ListEnclosed)
THE APPLICANT IS: (circle one) OL E)or CONTRACTOR
JOB SITE ADDRESS:
ZIP:
(work) `/`T--S-`ic(�/
NAME OF OWNER: PHONE: (home) 7?6, -/ '/ 3S
� rGl l 1
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) : x
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.
f DATE:
SIGNATURE: 1�� �_c % -3
APPLICANT'S /L
. ,
_ _ CITY of ORONO
Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
OF-
ORONO 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.
First Middle Lagt
(PO 6‹. . 0 -, 2 � . L �( e��r
Address
City State Zip
/ 2`7/c(
Phone
I understand my rights as stated above.
Signature
BUILDING&ZONING—473.7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
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