HomeMy WebLinkAbout1990-003415 - land alteration ! � _
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��-�TY OF ORONO PERMIT TYPE: ��_��� ���:r:l��Ls
1335 Brown Rd. South • P.O. Box 66 Permit Number: �'��#��_�i��
Crystal Bay, Minnesota 55323 Date Issued: a, i/�:�'=j!``�f_t
(612) 473-7357
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APPIJCANT FRMITEESIGNATUPE SUEDBY:SIGNATURE
CITY OF ORONO - BDIZ�DING PERMIT APPLICATION
.I. Fee: $ Date Received:
Date Approved:
.itered By:
Permit# :
AT•T• INFORMATION MDST BE SIIBMITTED IN FIJLL BEFORE PLAN REVIE'W WILL B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one ) OWNER or CONTRACTOR
Jos SITE ADDRESS: 13 9 S ��,�-�,,-�, �'c�l, 5 � � , ��,•zw�,�. zzp: �S3 9/
(work)
y� 3 - y>>s'
NAME OF OWNER: � j � 1 I q� PHONE: (home) ��-
MAILING ADDRESS: �39 s�ro w t^ � �S� ' CITY:�JT z �� ZIP: ss 3 �,�
CONTRACTOR: � a�' l�vi � PHONE:
1KAILING ADDRESS : CITY: ZIP:
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration�_
PROPOSED WORR (describe in detail) : 0� i� �
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTROCTION VALIIATION (ezcluding 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 SIGNATORE: ^ � DATE: � -- �' - `� D
..
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Certificate of Survey �
for Philip F. Kaley
of Lot 5, Block 1, MARKVILLE
Hennepin County, Minnesota
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I hereby certify that this is a true a d correct representatzon of a sunorthof
a11 existing buildings on Lot �, B1ock 1, MARKVILLE in relation to the
and west lines or said Lot 5. It does not purport to show other improvements
or encroachments.
COFFIN & GRONBERG, INC.
Mark S. G�berg Re9- N • 12�77
Date : 10-Z-85 Gordon R. Coffin Reg. No. 6064
Sca1e: 1" = 30' Engineers & Land Surveyors
� : Iron marker Long Lake, Minnesota