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2004-P08057 - land alteration
PERMIT �iT"Y OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Pogos� Crystal Bay, Minnesota 55323 Per'mit Type: User Defined (952) 249-4600 Date Issued: io�2s�2ooa SITE ADDRESS: 430 Brown Rd S Wayzata,MN 55391 PID: 03-117-23-42-0011 DESCRIPTION: Proposed Use: Residential Pernut Class: General Permit Type: User Defined Permit Sub-type(s): Land Alteration(0-500 cu yc DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 50.00 Valuation: $ 0.00 TOTAL FEE: $ 50.00 APPLICANT: Owner/Self OWNER: Edward&Kristen Brehm � 430 Brown Rd S Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SfATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �"/���� APPUCANT PERMITEE SIGNATURE SUED BY SIGNATURE Copies: 1-File(Si�nitures Required). 1-Annlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 �'-�-�� � , Cit of Orono �b �Q .¢,�,� Y I� FOR CITY USE ONLY ' 0 Q P.O.Box 66 Date Received: ;rd����F Permit# ����5� �;,;p,,,� 27�0 Kelley Parkway .�;�f, � '�J �.-�F- F Crystal Bay,MN�5�23 Amount: $ S�� C.U.P Filed: S� $,�k,.i;���.�' ti �`' '��,'�,:"'r�r:�1h o (95Z)249-4600 � f,�,- � �eaxo�' Approved By: %� Site Plan: � � Iv-�'11-�'� Recommends: A roval.� Denial ❑ CITY OF ORONO - USER DEFINED/GENERAL PERI�7IT (All pennits must Ue approved Uy the Buildin�Official andior Zonin�Depaitinen[) JoU Site/ Owner lilforniation: Site Address: �� (� �j C�1rG'1/�/Y�2 0Gt c� Owner: I��1 � 1 1 vP�I/Li�VI Mailing Address: 4'30 � - ����� City: ���GC�1 r�-- Zip: ��� � Home Phone: '�l'�2 �� 2j �Z�"p�D Alteniate Phone: Conn-actor/ Applicant I�iformation: Contractor/App.: Contact Person: Address: State License �: City: Zip: Expiration Date: Phone: Alternate Phone: TYPES OF USER DEFINED PERI�IITS 7 ❑ Stairwav to Lake �RetaintnQ Walls ❑ Telnporarv Trailer General-User Defined Surcharge Generai-User Defined Surcharge General-User Defined *(Per UBC) * (Per UBC) * $30.00 *Estimated Cost: $ *Estimated Cost: $ ❑ Docks—42" or Greater ❑ Land Alteration ❑ Zonine Review General-User Detined Surcharee Gen�ral-User Defined General-User Detined ❑ Conunercial—(Per UBC) �0-500 Cubic Yards *ForO-75'Zone-$30.00 *Estimated Cost: $ �50.00 (Needs Site Plan) General-User Detined ❑ 501+CubiC YaTds ❑ Residential- $30.00 550.00 (Needs C.U.P.) ❑ Tree Removal General-User Defined *Within 0-75' -$30.00 I herUy apply far a User Defined Perniit 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 pernut;and that the work will be in ac ordanc ith the pproved plan. �� � '� � �� � � � Applicant Date _ _ __ _. _ {Usa DeSned,Pttarit 3/1.8l04) � � �,'�r.� � � \ � � � � ; 3 � P " ' �.---� `•"' _— �J � t � �� � � >�".`.� , , �.a�;�„ J -- � � ( ', ,�.�. �j _ �� z, =-r z r �l �.� =� � � -_� J •� �x�e --}5 ^') �', Ll. J l�_ � , 1 ` ' � � , � <� �� � � � Z �' '-� _ �; �. , `� x � � � � '"" , <..J `J � i� � t`� O � ,� n � � � �� �. � � � � v � a �:' s � �, �g _ � -�-� � � o _.�: � � � .: -f', -� _i � � �__-- 'r� p � e, _ —_..,.._.__� �_ .� � � � � �.� � � �U '� =, `� 'i '-'� —� � �! � Lu.. €.i.! � f ..a .o.�.... ...�. :,�,. �.. .� � 1,� /1 _ ^ cJ, �r� � � �,., .,,s � V ✓ � � � 1.J � � � ,� � ;` �:JI �/ lJ J 4.. � ,'E � ` � V � 1 I �V/I ` t � C � � V \ �� � r A � �/5..� �� �� ` C..` ` `� ..j � � — .,\ ��� r—;i—i s'"+ � N � �" � ' _'' ��"' � � ` G� � ,� ��? � ► � �----- �� .� .__ ,, . . __ . � �s , �� �_ � � � �� �-� � � _ � � _ � � ` � � �� � � � -�� � .� � � �. ; �n -� �- - +- � �-� > o � - � � � � � � � � �� � � � � -� � � �' '�n s � -� � , � � �_ _ � � � ; � � .�� � �� � � � � � � �.� � , � � .� � � � �- � s� .� `� � � ��`� �� � � ..—�. �-� _ . _ ___--_ _____�"__ _-----_ __-- _ _._ __ __ _P�__----�-�-----__---------- __ ___ _ ___ ___---- - ---- -- - -- -��. ___ _ _ _ � `� -�,� �y