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2009-00604 - land alteration
.. � -• CITY OF ORONO PERMIT NO.: 2009-00604 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEu: 09/25/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 4325 CHIPPEWA LA PIN : 31-118-23-42-0009 LEGAL DESC : CHIPPEWA : LOT 001 BLOCK 001 PERMIT TYPE : USER DEFINED PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : LAND ALTERATION (0-500 CU YDS) NOTE: PERMIT GIVEN DIRECTLY TO LYLE,PER LYLE. LAND ALTERATION 0-500 CUBIC YARDS APPLICANT LAND ALTERATION 50.00 LONG,CINDY TOTAL 50.00 4325 CHIPPEWA LA MAPLE PLAIN, MN 55359- PAID WITH CASH 50.00 OWNER LONG,CINDY 4325 CHIPPEWA LA MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,appiicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance wi[h the State Building Code.This permit may be revoked at any time for due cause. " �.:��.. �� �� � =�y � � 9 .� ��� ,G� Applicant Per tee Signa e Date Is By ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � ,¢�� City of Orono FOR CITY USE ONLY O O P.O.Box 66 Date Received: Z �C`� Permit# �� C .�(C��� �,� 2750 Kelley Parkway G� r, 1�� ��> � Crystal Bay,MN 55323 Amount: $ � � � C.U.V Filed: �+�'`��ta�`'���y� (952)249-4600 �agxo� � Approved By: .0 /11� T/�6ite I lan: � .� i � � Recommends: A roval Denial ❑ a�.�0 CITY OF ORONO - USER DEFINED/GENERAL PERMIT (All permits must be approved by the Building Official and/or Zoning Department) Job Site/Owner In.formation: Site Address: `�3�s �,.h;do�uJ cL, L � Owner: C,�n�,.� �-`n'�o► Mailing Address: �f.3 Z$ C�%�p��.c�c�, City: �ro� 6 Zip: .5,5.�`-� 9 Home Phone: �(0 3 '�I Z� ' '�1`� � ! �=� Alternate Phone: S �"�i' �=" Con�•actor/ Applicant Iuformation: �� � � Contractor/App.: Contact Person: Address: State License #: City: Zip: Expiration Date: Phone: Alternate Phone: TYPES UF USER DEFINED PERMITS .._ ❑ Stairway to Lake ❑ Retaining Walls ❑ Temporary Trailer General—User Defined Surcharge General—User Defined Surcharge General—User Defined *(Per UBC) * (Per UBC) *$30.00 *Estimated Cost: $ * Estimated Cost: $ ❑ Docks-One Time (Non-�ake Mcka� � Land Alteration ❑ Zoning Review General—User Defined Surcharge General—User Defined General—User Defined ❑ Commercial-(Per UBC) � 0-500 Cubic Yards *For 0-75 Zone-$30.00 *EStlmated COSt: $ $50.00(Needs Site Plan) General-User Defined ❑ $�1+CUb1C YaTC�S ❑ Residential- $30.00 $50.00(Needs c.u.P.) ❑ Tree Removal General—User Defined *Within 0-75' -$30.00 I herby apply for a User Defined Permit and I acknowledge that the information above is complete and accurate; that the wark 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. � '� 9� a /�- � � k Applicant Date (Uscr Defined PcctniS 95198/Q9) �� . � .,�,. .� a ,s�... �� - '�' �.:�G�..�y , -.. �. .'r, . .� � �` k , �■� � �. � . ��.f .���� .. �" �x�""..:�, "P��, �.. �':. 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'�.,t s i�� . n . �-.a __ .,, . ..--. . . :. . . :. , y, ; � ., � A �, j s ` ��.' ; � ��kj R � w�..:. ��� '�.� � � .. �� . �.., .. � ��� �- , .. �� �.� . 669511 3 � ��. � (��� Certificate of Survey for Ronald lt. Demulling of Lot 1 , Block 1 , CI�IPPEWA � Flennepin County , Minnesota , N $9' 16�4,s�lU 1�f9.ol ��� y�, �'�av �j� ���� di.�y,, . i;.,ae:; {@:':;, � _, -`'r� . . . �. �i�� ,i, _.>ii � .. ifi:• Ey ��' ... W y C•f! '�..:cs+ �.,ce tq�y, l '�f ��" ;�'� .�.k..� i _ .. a- r% y.� - � n �+,d..ytiC ii'a.� p•,..+�.+r .�.�+[.._.�..�. .. . ... __. . `� � ����� �'L j.�i�� � ' .� ��� �� �:����• ` -, f��������,� �; i��;4F"�`�:��W�� �`'=i 1��1 F��'��1`' �'�, ! l,� QI��A�� ��t��` �' �� -rT./�- ; '?�A'6��.....�...,,5,,,.,,,�,-?��,:`��,�--�,���.�.�s� N �4 � .+elf++-; ' a 3.. o � �, - '� L� Pn.�pos�D a.��� o �-- o . ••� � m � 3 ry 3 r:.. � o ° µi.� � Q � '� 28.1 I.i �o O 2s.1 M EwsTiN� • ; Nocls E N o �'IiN s` �r,6��/c 4i.c o N z . OPEN �' 22.2 �11/L �G�L��@ cS�� 23.' , � .�,a G,,,...e ' ,j / I 6�� j i � .� . ..... .. , ........._._....wN.r.w�4t"RN ��OfRn/ � �'!SAl�~ � . ?' �',. ,.� �� . ��� ��.���tl/�0 ,..../ �_:� �af�``� , � 114{ �3,; �� ` ITE PLAN Gf����1NG PLAN 3 �k ����i��, ��� _�__�.�, � � ..: o +�*• k� APP VED � � ,��� -c- � ,� --- ,,;��,_� -!�, r� ❑ APF'ROV_ Vu1Tf=1 REVISfONS �o�c a -�a� �c j ��,�-- -_ �or�d lG�-�- � �S'��- ❑ DIS,'�P� ; ���,��I�S + '� '� y�o,�c� ��-���f� �, � .�. � ;�ec� � a � a � � .� c���� t�s i �' 1 �,, BY _ � ���_ � � �, �1 � i r c. � t �"'� ` [ � �1,',� �i,1 �;1.�Y 5l'1 � �,, `�\— . �',,.-` { Q\ — �----� _.�._._ e�hel� �'�r a ���t�;c 'Z��`_�-�\—�_ __ .�-,�_. � - , � � �la�.�4-��- ������f��� �' " ;� 1q.5 �� � � ; � .� i '�` �r� .w'-'�°" $u,�yv� �`, ltQ� '� '; ' �•4,-�, �, (d�nc4�P5 �Q P ' �'- 4 �` � ; �"O�`ol� ��C�v'�C� �?� 1"i"' cjt �� tT �. _ � _ �'7�G� —� � ��aC�Y� N 89' 26'qs"�+/ I�9•ol r„ . � ��.�-� `'�"�'`� CH I PPE �5`��� ��� . WA LAN E � �, a� ���x ic,�`� ���. �,�.. �:�_y; ;-`r,.« " Legal Description •»�„ • I�ot 1 , Rlock 1 , Cfi].PPI_:WA. ,.d . �;„°"�:. �1 y�`.. Thi.s survey shows the location of an existing house in relation • to the boundaries of. the above descr. ibed ��roperty . It does not ' �urport to show any other im�r.ovements or encroachments . o; iron marker � � 1 hereby certify that this survey was prepared by me or under my direct super- �nTc 6' �3'9� � � ` � ' � vision, and that I am a duly registered Civil Engineer and Land Surveyor under "� the laws of the State of Minnesc�ta. ` SCALE � ~ = 30� //�.� �.--�,�-�-� tvtark S. Gronberg Minnesota License Number 12755 lOB NO, 9¢_��7 o�, _ :-,-� , .