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HomeMy WebLinkAbout1998-009945 - drain tile rear yard PERMIT CITY OF ORONO PERMIT TYPE: ���=;�� ;;L�:�;�a���� 2750 Kelley Parkway- P.O. Box 66 ;�;;��.i•�;�� Cr stal Ba , Minnesota 55323 Permit Number: _ (6 2) 473-7357 Date Issued: -F�! �=j'3='� SITE ADDRESS: �_'.��=� GE�{'I tv !� ���� �' . � . t�. : i;�;—i �.;—��:<<—�_�=—���i�1�. DESCRIPTION: l�;�"r'�I t�i ���.� �:�Fl�i �'�a�;°�3 tis��, �='?��rt�ix. �'y���. I s�;�l� H�T��it�TI��i� REMARKS: FEE SUMMARY: ����i� F�:�F: ------- ��i 7 i�ti j !µi i.�,i i �YI� 'S,.={}dl�l��i CONTRACTOR: O�,���- � -����� 3 ��:{1'j T. - .��t_�1�•?i G 1.7��'ti� �1_l�_?�:�, .:=�:`;�z �,�`,�I C� Lr� ii;�`i«ij�{ITi ��j� �c _�c� :� :��—��,'�i_; ..�.�r t it�l����`=�I�:�t��;�i �-I��;�Ei t` �:�:�:��.��'•��'i'� F`��=it1�'�:=.T i=;;� [��� t�i=���::�' i.H� �`.i=i;s_ I C•3L`�EJ�Jt�ir i�i I'= ==,F��:::�F���.;�. �:t�L, ��.��;:��°�; T;_� r,�� �a�� w►�r:;r:: �:�� w.�t';,���:T :�:�.;���s,.i�::,���:� �r�r�; �;�.� �:�-�;;� �_:�= �,E������,_� ��_:��t�:����:�= i�i�;� __,i�;�E E:;!= t1 I i�t���Li+��i�t E��!I�4�I t�i=� 4_a���:�r �'�;;�t!I FiE�t���t�l"'�� . L -� _ _ � � APPLICANT%PER E SIGNATURE ISSUED BY:SIGNATURE � '�:L v L t . _ t Total Fee: • $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one� OWNER OR CONTRACTOR �--____.. _ . --- JOB SITE ADDRESS: �� � `Z �%�`� v � ��- �� a'-' � ZIP: � �� _J� �� � �� <- � ���J \L�'��1�HONE: ome � \l� NAME OF OWNER: (h )`�t� 7 � (work) `�r"�,.�� �.�1�,�, "c �� ��L�. MAII.ING ADDRESS: �.�-�L�:��=�; �.v�. ��`E �-��ITY: �'L_U �r_, ZIP: _S � Zi � � �� CONTRACTOR: ��-'IJ lJ�SC(� L��C��.�t_. PHONE: �--I � `� -- �� � �Z CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: S� - . # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration � � PROPOSED WORK(describe in detain: �����1.�� � ► � (�� I�-C r� � F STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. E � �,O�S��T�'FItf� r iii�g�i�dl-'�$ 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 Ciry and with the State Building Code; that I underst -'s is not -pernut and work is not to start without a permit; and that the work will be in a cordance w' the a�proved plan. ._ � � .%�' ���� ���• � APPLICANT'S SIGNATURE,�% I �_`' �4 DATE: ;_–' — � NOTE! Parade of Homes events require separ e permit approval by Police Department and Ciry Council 60 days prior to the event. Non perm�d events;will not be allowed. , ! � _� 1��; �� � � � Sec.13.04 RIGHTS OF SLIB.TECTS OF DaT� Subd. 1. Type of data. The rights of individual on whom[he data is stored or to be stored shall be as set fonh in this secdon. Subd.2. Information reqirired to be given individual. ?.n individual asked to supply private or confidenrial dara concerning himself shall be informed of: (a) the purpose and intended use of the requesied dan within the collecRng"state agency, polidcal subdivision,or statewide rystem; (b)whether he may refuse or is legally required to supply the requested data;(c)any Irnown coasequence arising fmm tus supplying or refusing to supply • pcivace or confidenrial data;and(d)the idenary of o�her persons or enanes au[horized by state or federal law to receive the data. This requirement shall noc apply when an individual is asked to supply invesrigarive dara, pursuant to secaon 13.82, subdivision 5, to a law enforcement officer. - The commissioner of revenu� mav place the noacA rauired under this subdivision in the individual income tax or propem tax refund instrucrions instead of on chose forms. Subd. 3. Access to data by indi�Zdual. Upon request to a responsible auchority,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her ic is classified as public, private or confidendal. Upon his further request, an individual who is the subject of stored private or public data on individuals shall be shown the data wichout any charge to hun and, if he desires, shall be infocmed of the eontent and meaning of[hat data. Aher an individual has been shown the privace data and informed of ics meaning,the data need not be disclosed to him for six mon�hs[hereafter unless a dispute or acaon pursuanc to this secdon is panding or addidonal data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon requesc by the individual subject of che data. The responsible authoriry may require the requesting person to pay the actual cosrs of making, cerafying, and compiling the copies. The responsible au[horiry shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of the dare of the request,excluding Saturdays,Sundays and leeal holidays,if immediace compliance is noc possible. If he cannoc compty with the requesc wichin chat time,he shail so inform the individual,and may have an addiaonal five days wiehin wtuch to comply wich the request,exciuding Saturdays, Sundays and legai holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise chis rieht,an individual shall noafy in wricin;the responsible authority describing the nacure of[he disagreement. The responsible auchoriry shall within 30 days eicher: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccurare or incomplete da�a, including recipients named by [he individual; or(b)noufy the individual thac he believes the data to be correcc. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. ' The decerminarion of the responsible authoriry may be appealed pursuant to the provisions of the admuustradve procedure act reladng to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "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 i[s departments may require you to furnish certain private or confidential information. 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 exten[necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become pubiic. 5, You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. 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