HomeMy WebLinkAbout#1686 Scanned FileCITY OF ORONO
P. o. Box 66
Crystal Bay, MN 55323
473-7357
TO: John Burger
3750 Bayside Road
Orono, MN 55356
ZONING FILE 11686
NOTICE OF PLANNING COMMISSION ACTION
Date of Notice: 9/23/91
COPIES TO: Jeff Martineau
Burnet Realty
315 Lake Street East
Wayzata, MN 55391 ---------------------------------------------------------------------------
TYPE OF APPLICATION: Sketch Plan
DATE OF MEETING: 9/16/91
NOTES AND SPECIAL CONDITIONS:
VOTE: No Vote Required
The Planning Commission provided the following conceptual direction to
applicant for the subdivision of Lots A and B. Applicant was advised that
the Planning Commission would not consider a subdivision application based
on density credits for sewered property and until sewer is ordered to the
property, the Planning Commission advised against filing a formal
subdivision application.
The Planning Commission did accept the combining of C-1 and c as a
building site as long as access is provided outside of the wetland areas
located within proposed Lots A, Band C-1. Applicant did advise that owner
to immediate west of Parcel C-1 had agreed to provide an access easement to
the 2+ acre parcel on the south side of the Luce Line. The Planning
Commission concurred that Parcel C with 4.2 acres of dry buildable must be
legally connected to C-1 to satisfy density credits for 5 acre rural
residential zoning. Staff has confirmed that C-1 is located approximately
700-750' from the shoreline of Lake Minnetonka and is subject to the
moratorium ordinance. If applicant proceeds with merely supervision of C-1
pl us C from the remaining homestead parcel, a moratorium variance
application must accompany the formal subdivision application. As an
aside, it may be advisable prior to any further formalization of plans that
Mr. Schirmers be asked to review site C-1 to determine septic capabilities.
It should also be noted that the Planning Commission found no problem
with granting width variances to the properties both located in the LR-lA
and RR-lA zoning districts.
Please contact my office if you have any further questions. I will be
out of the office commencing Tuesday, September 24th through Thursday,
October 3rd.
lsv
To: Chairman Kelley and Planning Commission Members
Mayor Peterson and City Council
Ron Moorse, City Administrator /3
From: Jeanne A. Mabusth, Building & Zoning Administrator
D~te: September 12, 1991
Subject: #1686 John Burger, 3750 Bayside Road -
Sketch Plan Review -No formal action required of
Planning Commission
Zoning Districts: LR-lA and RR-lA
Pertinent Ordinances -
1. Section 10.23, Subdivision 6
required for all lots.
Lot A & B
Required= 200'
Proposed= 183'
Variance= 17' or 8.5%
(B) -Lot width variance
Lot C-1
Required= 300'
Proposed= 210'
Variance= 90'
2. Section 10.55, Subdivision 8 -No land alterations al lowed
within a designated wetland. If access to the northern
parcel is via the designated wetland, a variance is
required.
3. Section 10.55, Subdivision 15 (A)(3) -All residential
properties served by municipal sanitary sewer. A limited
density credit may be allowed for the inclusion of flood
fringe lands "equal to but not exceeding the amount of
adjacent dry land which otherwise qualified for development
under this chapter". (i.e. if applicant had a dry buildable
contiguous parcel of 1 acre, applicant would only receive
credit of 1 acre of the adjacent wetland as density credit.)
Lot A
Dry contiguous = 1.65
Wet = .38
Lot B
Dry contiguous = 1.65
Wet = .83
Proposed Lots A and Bare located within the LR-lA zoning
district requiring 2 acres in area. Refer to Exhibit C for
zoning boundaries of RR-lA and LR-lA districts.
4. Section 10.03, Subdivision 6 (B) -Combination of separated
parcels prohibited. No lot or parcel of land which is
divided by a public, private or platted road or road
easement which results in any segment thereof being less
than the minimum acreage required for that zoning district,
Zoning File #1686
September 12, 1991
Page 2
shall be allowed to be combined with any separated parcel of
land across the road for purposes of qualifying under the
minimum acreage, open space, required yard, setback or
sanitary or septic system requirements, nor shall building
or density credits be credited or transferred between such
parcels under any provisions of this chapter. Each separate
parcel must individually conform to the provisions of this
chapter in connection with construction of improvements
thereon.
If Lots C-1 and Care to be considered a single buildable
site under the RR-lA 5 acre zone, a variance to this section
would be required. A special lot combination agreement
would be required of applicant if approved.
5. Section 11. 0 3 -Definition 2 4, lot area, minimum ••••• In
rural zones not served by sanitary sewer, each lot must
contain a minimum of 2 acres of contiguous dry buildable
land exclusive of wetlands, public and private rights-of-
way, vehicular or pedestrian easements •••• All rural lots
must comply with the City's on-site septic system provisions
of the City Code. In urban areas served by sanitary sewer
each lot must contain contiguous dry buildable land equal to
the minimum areas as prescribed in the zoning chapter of the
City Code.... Exclusive of public and private rights-of-
way, vehicular or pedestrian easements, surface areas below
the Ordinary High Water Mark of surface water wetlands or
areas out of flood plain elevation for a specific property
and have legal access to the building site without
encroachment of a wetland or flood plain area.
Please note this last statement is not included within the
rural area portion of the definition. It suggests that only
in sewered areas was the proposed building site to achieve
access without intersecting a wetland or flood plain area.
Members may wish to more fully review this section. If an
access easement is created via Lots A and B, this easement
area must be excluded from minimum lot area of each lot.
All access easements must be excluded from minimum lot
acreage.
6. Section 11.10, Subdivision 6 -Purpose and requirements of
sketch plan review. The sketch plan is an initial
presentation of a subdivider's intention and serves as a
basis for conceptual discussion between the City and the
subdivider providing beneficial savings for the subdivider
prior to the filing of formal subdivision application.
Zoning File #1686
September 12, 1991
Page 3
List of Exhibits -
A -
A-1
B -
C
D
E -
Application
-Location Map
Survey of Sketch Plan
Area & Zoning Boundary Map
Burger's Bayside Plat
Staff Sketch of Existing Improvements
Lot Line
Review of Sketch Plan
in Relation to New
Please review Exhibit Band c, the 3 lot subdivision proposed
by John Burger. The property is located within two zoning
districts. The northern portion within the RR-lA, 5 acre rural
zone, and the southern portion shown as Lots A and Bare within
the LR-lA, 2 acre lakeshore residential zone.
Review Exhibit D. Burger's Bayside plat was approved in
1977 based on the original 5 acre rural zoning. The property was
rezoned in 1988 to LR-lA. Mr. Burger is currently seeking sewer
to the portion of the property located within the LR zone. The
current proposal is based on the assumption that sewer will be
provided to this property. The portions of the property located
in the LR district have been included with the proposed sewer
district for the Stubbs Bay area. A feasibility study has been
ordered by the City and wi 11 be reviewed by the City Counci 1 at
their October 14th meeting. Applicant has asked to be allowed
to file a formal subdivision application with preliminary
approval being granted subject to the property being served with
sewer. The final plat application would not be filed until a
sewer improvement project has been ordered.
If Planning Commission will agree to consider a preliminary
subdivision application that includes density credits for
wetlands based on sewer being approved at a later date, applicant
may be advised to file a preliminary subdivision application.
Per Section 10.55, Subdivision 15 (3), applicant would apply for
wetlands credit to meet the 2 acre minimum requirement of the LR-
lA zoning district. Regardless of whether the property is served
with sewer, the 2 lots will require a lot width variance to the
200 width requirement measured at the rear of the front street
setback line at 50'. Please refer to the lot width variances
required under Section 10.23, Subdivision 6 (B) noted above.
If Lot C-1 is to be the buildable portion of the rural lot,
a lot width variance would be required as setback areas will be
based on the adjacent Bayside Landing plat, the north lot line
being the rear and the southern lot line being the front. The
lot measures approximately 210' requiring a 90' width variance.
Zoning File #1686
September 12, 1991
Page 4
Review Exhibits A-1 and c, Mr. Burger's property consists of
2 separate parcels, a property to the north side of the Luce Line
consisting of 4.22 acres that is currently landlocked. For the
past 10 years Mr. Burger has attempted to achieve access to this
site via easements from private adjacent property owners or from
the City of Orono along southern boundary of Bederwood Park
running along the north lot line of the Luce Line Trail. Mr.
Burger has been unable to file a lot area variance because he has
not been able to acquire legal access. In the current proposal
he proposes the combining of the 4.22 rural property with a 2+
acre parcel on the south side of the Luce Line, the Parcel
referred to as C-1 meets the minimum 2 acre contiguous
requirement for a rural property at 2.16 acres dry. Parcel C-1
may be developed as the rural building site with principal and
alternate septic sites. The 4.22 acre parcel to the north side
must be legally combined to satisfy the 5 acre density
requirement. Mr. Burger has agreed to file a special lot
combination recognizing the property as one building site (C + C-
l). The total 6.84 acre site would be sold as one unit.
The major concern for proposed lot C + C-1 is access to the
building envelope on the south side. The C-1 site is restricted
by the location of the designated wetland. Review Exhibit C,
note with the Bayside Landing plat that the rural 5 acre site
achieved access via a private drive that intersected the
designated wetland. The subdivision involved the granting of a
variance for land alterations involving filling and grading work
within the designated wetland. In preliminary discussions with
the applicant, staff has strongly urged Mr. Burger to work with
the neighbor to the immediate west to achieve access via an
existing private drive. The applicant has been advised of the
limitations of an application that involves encroachment of a
designated wetland when other alternatives for access exist. It
should be noted that based on Section 11.03, Definition 24 that
vehicular easement areas must be excluded from the lot area of
each lot.
If the applicant proceeds with the filing of a formal
subdivision application that involves encroachment of the
wetland, Burger must provide written documentation that all
adjacent property owners have refused the granting of an access
easement.
Staff has also asked the City Attorney to comment on the
City's obligation to provide access to a landlocked property.
During preliminary discussions with the City Attorney, it appears
the City has no obligation to provide access to a landlocked
property but that it is really up to the developer or owner to
acquire legal access. The City Attorney's office will provide a
written opinion on this matter at a later date.
Zoning File #1686
September 12, 1991
Page 5
Issues to be Resolved for Applicant
1. If applicant is not allowed to file a final plat application
until sewer is ordered for the property, would the Planning
Commission consider a preliminary subdivision seeking
density credits for sewered property?
2. Irregardless of the issue of sewer, would you grant width
variances for proposed Lots A, Band C-1?
3. If special lot combination is recommended, would you prefer
the building envelope to be Lot C (north side of the Luce
Line) or C-1 (south side)?
4. If applicant provides written documentation that all
adjacent property owners deny access to the northern
property, would you approve access via the designated
wetland to a building site within C-1?
lsv
546175
bt'3!
1-,
~
~
N
I;)
Ck;) t
~
~ ~
I
I
,;
....
....
............... -
->~ .('
C-/.
.?,JJ' !,(c rorAl
0.17!,c. wcr
2-16 ! Ac. /MY
,,
I
.L
6 . /14 J Ac. ront.
/. 33 !,tc:. W('r
5. 'r( :! ,re. 0.f'r'
r J",;,-<., .-;
--/ "'-'-<-,-
···· Bc9., ----~
t;/1
~
I I' r.-•,-
Vi s.-'
V ., .,/
/4J. 0~ .!,V
J/
,--., ..... ,
'-' I ,
I I / ·-' ... .,,,.
4.zztAc.
C
...................
~
1-,
~
't
-~
SKETCH PLAN
FOR JEFF MARTINEAU
OF LOT 1, BLOCK 1, BURGER'S BAYSIDE
and LOT 50, AUD. SUB. NO. 203
HENNEPIN COUNTY, MINNESOTA
····---....___ 1 ···---J/··
\ -"'· .,.,-I • ............... ,•. ' / .,-'
--. .· /g'l
.... ?.-: ~~ .• ,Yq~i,l~y /,32•
'j' ~ J!t,VC> / I ---'
I ~I II r::.· ~;
~ 'II ~ II)
B
2 :'1'8 f Ac Tor,11..,
0-33 t ,,,fc. WFT
I. ,-s-t Ac. /JAY
L'
A
2.o] !Ac rar,1L
c1~3fJ"!ACW(T
/.6S:!' ,.,r. hr
~
o,;
V.
fl)
I • z,;"I , I A• ~ /18.50 p.-:-1311 ;46, <JS ~ ~· );; l------~:-:::-::-"'.------:::::,,".r.:
-· --l:7~.85"
°' 27~ 70
~
: . ): . ;,, )_;:\ ,/:' ·-·;/ :.'. . ' :, ;-{·,.\/: :; :};)#~;if
·.,._c'•·.~··. '. :./(QFFU~''.V&'"GRONBERG·',INC ;:_;i~
..
·.. . . •·· G. ,111~11/li,r)i ·.t.··11~.•1.•ii,;,,,.~_. L1111/ S.111·,_,.,,_,;_·,.~.-:· •. 'i. it._,_. r1aii11.1•1. ·.~.·_.~, __ .:_: __ ~.\· . . .., . ' '. ·.. . . '. • . .'1:-t··',
. . . . . :; . _41{! T,,n'.,~r,K,k ~\t l lll' ·: ll:h~_ L,1kt• '.:~ ~~ 553~/;:~;
. · ·· · ·. i}}il2:-l,J-4141 /, :\;"'-,'.: \:.·_;:-;~'3\
7'/-J 2. ?
Co. /?0,40 /VO. 84
I hereby certify that this survey was prepared by me or under my direct super-
vision, and that I am a duly registered Civil Engineer and Land Surveyor under
the laws of the State of Minnesota.
Mark S. Gronberg Minnesota License Number 12755
~
~
;:)
DATE
;V
I
3-26"-'Jt·
SCALE / ": / CJO ✓
JOB NO . 'JI-32')
CITY OF ORONO -SUBDIVISION APPLICATION
PROPERTY LOCATION
Property Identification
Please check one -Property _L__ abstract or
Attach legal description to application.
fJ-
torrens?.
APPLICANT Phone (home) '/7c3 .... ~se,1<Ecfl"PT-7H/4NK YOU .
M .J .•.•;:·.•i: r ·ru·1; tuii Tii.•i..-;
(
, ff.i..,t..."'T'-V IJV\.'.l I\V..&. l.J.U•.l'T
Name =''°be Buf2~Gtl, Phone (work) i7,,3-355::J ()8/28/9i
Address:37~ D1~(b<5 ~@ City: L)~ Zip: ~~S(e ______________________ : __________________________________________________ _
_ Oljff:fffl (if different than applicant)
lr'\i1c
Name 5e.f' ..f Heu-+ ;n ea,,LL-
13u..r~+ ~ea.-14
Address: ...:515 t....tL kc $-l . €
(attach list if more than one)
EXISTING LAND USE
Number of Tax Parcels 2.
Development Size q .~~
"1-, 5~
ll , Oto
Present Use (check) ✓
Phone (home) ---------
Phone (work) Y.7 ~~ ~ooo
Zip: s s ⇒q I
Acres Dry Land
Acres Wet Land
Acres Total, all parcels
Residential; no. of units I
Other (specify) -----------
Present Zoning District ___ 7(~•_._{ ____ _
PROPOSAL Division f~r Tax Purposes
✓
Lot Line Rearrangement Only (no new building sites)
Subdivision for New Building Sites
Number of Building Sites:
1
Proposed Gross Density:
Minimum Lot Size:
Proposed Use: (check) ✓
Existing Units
New Units
Total Units
Units per _f_l _ Acres
Sq Feet Dry Buildable Land
Residential
Other (specify) ______ _
MINIMUM MATERIAL NECESSARY FOR COMPLETE PRELIMINARY APPLICATION
1. Completed Application Form
2. Preliminary Plat information on Certificate of Survey.
3. Certified Property Owners List of owners within 350' (you must obtain
this list from Hennepin County Department of .. Finance A-603 Govt Center
348-3271}.
4. As.an addendum to this application, please attach a separate list of
any other persons you wish notified of this application.
Certification by Zoning Department that Preliminary Plat Application is
complete.
Zoning Official's Signature _______________ Date _______ _
-------· -· -----------------------------------------------------------------1. Payment of fees (park fees, filing fee, sewer and water assessments).
2. Signed certificate of survey or mylar copies of formal plat.
3. Title opinion.
4. Easements, Covenants, etc.
5. Developers Agreement and Letter of Credit.
Certification by Zoning Department that Final Plat Application is complete.
Zoning Official's Signature ______________ Date _______ _
FEES
Sketch Plan Review (Class I, II & III) $150.00
Subdivision of a Lot Line Rearrangement 250.00
Preliminary Review (Class I & II Subdivision) 250.00
Preliminary Review (Class III and all non-residential) 300.00 +
20.00/Lot
Final Plat Review (Class III) 150.00*
*(Plus any legal or engineering charges)
The applicant hereby agrees to provide al 1 information required or
requested by the Zoning Administrator, City Engineer, City Attorney,
Planning Commission and Council necessary to process this application and
further agrees to pay all additional fees established by ordinance.
;pplicant's Signaturef l!fo..~~~4'.f::::::::!:'!:!!l.:..b\~==;;_------
Jwner's Signature
Date
Date
,_, 7
---------
~pplicant must have all submittals into the City offices 25 days before the
~lanning Commission Meeting. Planning Commission Meetings are held on the
t:hird Monday of each month. Applicants must be present at all scheduled
review meetings of the Planning Commission and Council. If an applicant is
1nable to attend a scheduled meeting, please make arrangements to have an
iuthorized agent attend in your place and to advise the Building & Zoning
)ffice of this change prior to the meeting.
~ 5 4 6175 r--------------------
Cti'3t
1-,
~
,--,,,-.. ,
L.., I I
I ' I .. _,,, .. -
~ 4.ZZ!A C .
· ..... ,:,,: .
'
N
~
~ t
~
~ ~
' I
~~,
C -1
;_1, 33 ! ,.(( 7rH ~l..
0.1 7 :t •" w € t
2. 16 ! Ac. t)l<Y
,,,
I
.1
(;. J4 f Ac TO-r/L
/. "33 ±-fc w,r
S. 'f( ! AC. ORY
r J4-""'"" ,,.,
C
~,
--~
~
1-,
~
"':-
·~~
---/ .,,,..,,,. -------~ SKETCH PLAN '
FOR JEFF MARTINEAU
I;' ty'
~-4,,' [:_--:-
ti ,t
/1-J. 05"
t;!I
I
I
~Ill ~-~'
~ II)
\I-"'
I t.
V
.\Y
~
OF LOT 1, BLOCK 1, BURGER'S BAYSIDE
c1nd LOT 50 , AUD . SOB ·. NO. 203
HENNEPIN COUNTY, MINNESOTA
,-•-~ ,,--, ... _J
/ /
..... ·i,,:.
---5 /2'1
q~//f'y / 2-0 Ll,<✓f' / /J
------>
B
2 ;1'i/ f Ac TOTltl.
0-J3 !. AC. WFT
I . c s! Ac. /J ~i
A
z. o 3 ! AC ror-i L
c1.J8 "! Ac W(T
/~ 6S-:!' ,r: ~,( r
~
o.;
~
fl)
~I N8.50 ti
~ I -/7~.8S
-------~z;":,?'.D,;:,-_-:7:-o~-------,-'-Co. I? 0,4 o ///o. 84
~-
(
\ ~-
,_.} \/:~-:' :/. ;.\~,;_./f-: ·.W~0:f,.~~~::>.Ji°:Jri.\J~,:, ::'}~~-/'.
:\: ~ -,,.;;;;;;;;.~ l: ComN · &{ GRONBERG ' INC;•;i?
il ~-c.,,i,i,lti11g E11gi11t•fr,. umd Sw,\ifi,,.,. S11c · rtm /,i;;,?t1r.;
I hereby certify that this survey was prepared by me or under my direct super-_
vision, and that I am a duly registered Civil Engineer and Land Surveyor under
the law s of th e State of Minnesota.
· :-s · -.:~~~,. .-· ""' .... '~'( .. -~ · J,, ·e ...... ~ .. ., .. · · .,~'-4~ ·. ( '~ . -{' ·4i\2 fani,1r;ick 'A,·i.•nul' .• Lllllg;L1kl'; MN 5535o •:;;~/ ~ ~tt. : ~--. ,~,, · ~: ,/,:. . -_ ; . ., ..-r · ... · · · c:;,v-· 1 ·?. --: ~-.,. -~:. ~~, · · Tl,~ <"''· .:'--.. , .. •.:.-. ,-..,_y:~ .. i\;!:'.:.-012 ,,1;3 .. u -1 1rff" :,;¥-r~i'*H.l::
;.::~it:j}:i;=~ ;: :\:-:.~~~~\J_;;;i\tJi;g;trii.i~~!ik}tt~~i
.. ,•··
Mark S. Gronberg Minnesota -License Number 12755
,.
;V
I
DATE
8-Z6'-?1
SCALE / ''= /()0 /
JOB NO. ?l-32?
~--.
Pl~: t a:E' =u.·:-... -eJ-
fo :."' L! Q ~1n I:-i.1r re r
in t!1c r;orth\..'est. l 11"Y o:f ~ect.:ion :,-117-:'.J
D
J: hc~c-~b:,. .. ("'"er:.i:-':,-t=12t ttis is a true ~inC. ccrrcct. 7s;..,.:-e:ser:0~.-
t:0L er-£! s~.:.~ve·· of t!1e batL"1ci~ries 8:~ .J~t 51, .. :.".l=.it.c~'L :.1ut-
C.i .. }i~-~:.cr;. ::tz:~ce~ ~\./:, ~er.:..r1c;Jin Ccl..L.i."'1t:.-, l:inneso~, ~/--:e loe~?-
tio:: vf ttll e:d.stinc ·oL.ilC.:ir1~~s t~1erecr., :.1.; .. :.... :.::.t: ;..;re-
5 0 Acre.s
bv1 /dQb!e
51
7)"··.
.. • 1 ••
[1U.=._..L,:...:2., •
~ l: ,-. ..,~., .-< __ ,.,'
1~5' , .. ·
? '
..j>
0-,,
<,
~--·
146'.5'
150'. ......
5.i·
ShLd• ·._. c-· .. ~ ..-0
);;
--__ .,._ ----------'---66.-6,£-5.J.'----c,______ ----------~-!?--.-.·. -
./~
/
----
/ [',_,7/._r/,,/;L o/
Cot_,;7-ry /?oad ;vo 84
Os ,rravL./ICO'
i
~lf!,~
~--..r .. :.i ,~U.J'"'.r'-:· ,·c,; : .. r .. c: fl ._,_:-.. ~Y;~::-
.:...sCnr .....,,:_,__.:,:(;, ;,ir1nc:s'.JU
.-I [
-+-·__, ---
+ ~, I
jl!-=====-I
=-----=
APPROVED t,.S SUBMITTED ~r...----~1'11 APPROVED WITH CORRECTIONS AS NOTED
NOT APPROVED -CORRECT & RESUBMIT
These comments are tor your information. All work shall be i-1-:-ne
in full compliance with all applicable building &. zoning code re·
quirements including items not specifically noted in th'-~-,ev,-JW,
KEEP T\-11S PLAN SET ON SITE AT AL'.. T\MES.
----
No·os·4z··£
--349.68--
66
n
0
C z I '. -f
9Z86. ~ ~-9~ I
a) 0
213' -------' ~ fo"
.-----. !IZ83• '-<:,._':132.0
--658.02 _
No 0 11·2.s"£
I ,
I : _.._ !•,I~••
'••· -•'.: -: :.1 .
r....
0,
~I
·:::,/ ~,
386.00
Noo15·44"E,
I hereby c .. , \ oun ar,ec.: Lot 1 , u ,'lnd correct r
f
e.t1•y th<Jt rh·1L ,·s
o the b d • -
0
3 tr e ion o a11 b -
1
• ~ SIDE H -a survey An d o f t h e 1 o c a t . f ' B 1 o d 1 ' B U R G ;::-R B A y e r r e c, l' n t ,1 t i o n n f
• '; any con . Y, the econ 'nncsot encroachments . f u1 d1nns, if un • cnncpin County, M.
the stakes as sc· fa. oc on ,a,d land. It I , and all v;sblc J
• · -'l · •, sucveved ,on of o f A u ':l u s t 1 9 7 7 l r a p r o p o s c d h u i 1 d i n . A a s o s. h o \-1 s t h c 1 o c a t . 17--. ( :~b..¥ rnc this 2ft h day
1 I It,~ 'L ,}_ _!__, . -1-
Tn3m£ss~ Be7 • b -:"'~'-/ . 0
0
I
I
16.50
t.Jo·w 25··£
OENOT£5
DENOTES
WOOD
IRON
$TAKES
MONUMENT
13--
,;:':'::.,•.~·::. .., , •.. ••·· "'""'" Land Su c ve yo c q q ~'.st
..:.PPl<...i .. 1;...., --" "'""'"';;; •·""''" "", •• • ~: • "• .,, " • , n n . Reg N 7 7, L~ 5
'''"'·''"'A ,,•.:,,a T•<l I Ai'$ ·' "l',,,,,a ~ . 0. ' ('F 1...,f ,,.Ar~::,.;.
l :cYcJJ! "":··"· "''"''". "'~,,~~,\',OCIATES l'lC. ~"''
/": 100· PREPARED FOR
~-•>-))"'\"\-\.: 'cCOMBS-KNUTSO
-.•,,o.:.<-, .... _.., . ._ ~■SIT£ PtAJr'lltU•::O
• '•' J, ~ ,~" •.• •••,I
I~-
3739 JOHN BURGER
Post Office Box 66•Ci-ystal Bay, Minnesota 55323•Municipal Offices
On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M. S. 15 .16 5, "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 deoartments mav
require you to furnish certain private or confidential info~m-
ation.
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 ex~ent necessary to process
the permit or lice~se.
4. If your requested permit or license requires Council
action to approve, some infor~ation may become public.
5. You have certian rights under M.S. 1s:16S to review
private data on yourself.
6. Your full name, and date of birth are required to process
this application or permit.
~tA
37~
Address
Date of birth (does not apply to building/general permits)
Phone
I un
BUILDING "'-"'-'-''"
ASSESSING
as stated above.
ADMINISTRATION & FINANCE -473-7358 • PUBLIC WORKS -473-7359