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1991 - 003800 - add rock/culvert
PERMIT CITY OF ORONO PERMIT TYPE: tj:-;EDEFINED1335 Brown Rd. South • P.O. Box 66 Permit Number: '-?'•Yk =�`•?{ Crystal Bay, Minnesota 55323 Date Issued: 07/03/91 (612) 473-7357 SITE ADDRESS: 1251 WILOH R=;T TR LSV r. I . N. 07-117-2:3-31- DESCRIPTION: ADD ROCK.../CULVERT User Permit. TYPO LAND ALTERATION CITY OF ORONO REMARKS: FINANCE OFFICE13I3300000 u 01 GE;' 50.00 TL . FEE SUMMARY: T-IH4Nb{5YOU #C421.S7344 coos TOL T10 ,:00. 0%2d 47/03/51 Ease Fee <'{?Lilt) Tc't•a I Fee $50. 00 gt CONTRACTOR: �/� -- APP l i cant. -- .;SY SCOTT 1261 WILDHUR:=;T TR ORONO MN 55:364 is61 ' --6495. 3 sr � z k n axa t { S r� } a. APPLICANT/PERMITEE SItNATURE ISSUED BY:SIGNATURE ��`c,'� CHECK OFF LIST FOR ISSUANCE OF PERMITS 074V!! FOR OFFICE USE ONLY D / G%, ADDRESS OR LEGAL: /�1 �l4-btfu 7 (►�` IL PID: 01-11-?- az 31 00 3 a DESCRIPTION OF WORK: LlAJ`-' -'t'" -'r2.4'rilot%) ... 2e,t,,, )4,c, 04kifVt.P(0• & ZONING REVIEW BY: affireZ. DATE APPROVED: / -3 -9/ BUILDING REVIEW BY: DATE APPROVED: FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes " No PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: C-K. - /a Fire Department: Post Office: I"` b. School District: 0,..b' �-- Width: Depth: Lot Area: Survey Submitted: Yes No X Date of Survey: - S C-,i../i Proposed Setbacks : Front (Lake ) : Right Side : Rear ( Street) : Left Side: -- Adjacent Structures : Wetland: -- Building Height: Def. Hgt. Peak Hgt. Avg. Setback: Lot Coverage: Existing Proposed Hardcover : 0-75 ' ////" 75-250 ' ✓ 250-500 ' 500-1000 ' ;41:: Hardcover Variance Required: Yes No 4- Date of Council Approval: fil eg/G RC- Grading: Staff Approval Date: 7-3-°1/ By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File r e--- Resolution #: �- Resolution Date: REMARKS (in house) : P RAIJAw*1 1 1N-7--. TO /A)et- k i} : R,1- A—P) c uLv?T FhLL ot/e ca 'eYe-�`� k t " w �- 6xLxy , s 1 /NSP ± J/ irAret,c e y hP64-6 7-2,-9 I BUILDING REVIEW CHECK LIST UBC: CONSTRUCTION TYPE: _ .Sq Footage $ Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x Garage x = x TOTAL Estimated Construction Value: $ Inspections Required: Work Requiring Separate Permits: SitePlumbing Grading/Filling Mechanical Fire Footing Framing Septic _Water Connection Insulation Fireplace Sewer Connection Wall Board (Masonry ) Other (Mfg. ) Well ( State Permit) ---Final Electrical (State Permit) Otherr REMARKS (IN HOUSE) : REVIEW BY OTHERS: DATE: Access : Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT) : c.17%1 CRONO BOILDING . PZAMIT APPLICATION • fate 'Ap.oiv-,11 :v�.�. By•mss_ Permit AIL INFORMATION MUST E SIMMITTED IN 1VLL BtIPCAB PLAN REvirw wt', BE 1 I) (See Chea:K-ciff List ` ncicse )• ...... 7E2 APPLICANT dSi circle one ) O7R orCON1RAC1OR �y r rye. Tty-� :70 • ` y''� {. f .ter ;' p� ' S r Y '"t2'-Yfed tYs"1 y ' r*i_r'.d; tk'�'4- K"' �.{ ��'IL,IN DL4.ESS 5� ]\ E t 5� t �,�,(l `.`-y t_�. l j Cr�L1i ` vrF F.�•it i..- -1-. X�-�a ::#.'... w... f !`-• ''� 1 -`W. _ '�. .+ 'i i= ...�� C a J * 3I y ,7731 WORE. d scribe deta1.1 J 1. �f,1 47 , L:174,`'i `Y -"` ,rt.2a.? .,�F; Fr•++ ^` .'�t f= CF B XS; fIAAASt ST +Lt-S _ at,iTIKATio coNsTRucTIog i'd.[3.taaA. ION (exc .odng lab._-rte-.) § thereby -i p p l for a ,�.� �.3,� Y'<���...- _ s.3' k ,L c v 1 9.--d ea tom: Y_'e` f r S .•. c c 1. '$ i n a a L c' r ems:d• ; _ '1�`--, `i'e`` w f ,h n c c, :g o r + - %b.i.ho-f r 1"..o.er st a tij this is _:c t t St tri ,t f. .. that t 't will. bes 6C.4 0reiFi3!t With t !7' a_ �+'rs pY=, mm u q5 e ,k s°f ,ti APPL.r, W248 `iGgATURE': -' v .t s= - i '�`� -----� - -� --- -- -- T ' , . CITY of ORONO an p4(-it tifrow 66 Crystal Eil'J,Nirot41 5Ct9i.'-i."`54i+M ,t;'._ cit f'. • OF r„ ORONO On the. North .Share of£';�. e in tanka DATA PRIVACY r DVI SORY Tn accordance with M .. 13.04 , ai. bd. 2 , "Rights of subjects of data" , we woti1d like to inform you that your request for a permit cf license f rcrl 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 your furnish wikl be used to determine your qualification for the permit or license requested. 2, You may refuse to supply data, but re£usai ray require that the City deny the permit or license. 3. Tha information may be shared with other local , state or Federal agencies to the extent r pessary to process the peen t OZ license. 4, It your requested perm4t or license r q°U±res Council action to approve, some information may become tubiic. 5. You have certain rights under m.S. 13.04 to, review pr Y ata data on yourself. 6. Your full nam ' is required to process this apzli+cati`_6 � p e rn i . First Middle Last address 14 • tf raur!r' R ff kr Y fir' 'dYrj • City State z p 7 i I landrtand ." f tcight as .stated above f m i s i i r § 2 G- ,17 : W F V4,-0 C; 145 ;'`E- ;F 07/03/91 1©:39 Oft 0004 OP . .T Ll L - _ - 9 1 1...1 E L 9 : 2 7 F: 04,4 E T F: G G 0:. H : CI C. air.... livid X11 i �.__.HTE E;• F'! <1 4 II r '• J • 0.111,7 ,� - ,,�..� MMM i • o, ok 4 a "iia . � ,f.„ L; ¢. .htiiiiiiwi: _ _ 1MIsm Wilit41.4-, :¢ 5 _ ,c,,..;:?./c....., , ......._._ ._. _. al 11 I 1III , , ,. SMI ik 4 .. ii 47-7-111111 410,;#7,..;i:AtitriPSIL ., II. .,.h1C&ZAWI•j-441-F, 054. _,Iffa .., T , I .. . . _. .10 4 i 11.11:1:1! . .._ ... ... ill rM■o1i k 4 yak �, as Jt i OIN ta - 4,1 1 .� - .�, i , ..... .. . , : _ .... ., . •77_01.0_..,_ __•: "...,._,... pg.F.a_071,74,"it i il i :10aif-MI•arftv i i Ir-s,le-. '4.AlTiiii, _AN% , foki, i (L4e- ;.1 ' lAl .,,,r.. . .�.., .... �� .'y';may* I . a rtip•I� .. 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