HomeMy WebLinkAbout2004-P07881 - land alteration � � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Po�ssi
Crystal Bay, Minnesota 55323 Permit Type: User Defined
(952) 249-4600 Date Issued: ai2si2oo4
SITE ADDRESS: 1210 Loma Linda Ave
Mound,MN 55364
PID: o�-i i�-23-ai-oos�
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pernut Type: User Defined Permit Sub-type(s): Land Alteration(0-500 cu yc
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 50.00 Valuation: $ 0.00
TOTAL FEE: $ 50.00
APPLICANT: Owner/Self OWNER: Donald&Carolyn Udell
MN 1210 Loma Linda Ave
Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SfATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICAN ERMITEE SIGNATURE SUED BY SIGNATURE
Conies: 1-File(SiQnitures Reauired), 1-At�vlicant 1-Monthlv Reuorts, 1-Assessin¢, 1-Finance Page 1
, �,��yro �{ i ��.{i;;.`J' !-C�� ��`'� e
City of Orono �� ��
P.O.Box 66 � �'�
2750 Kelley Parkway ' ``�
Crystal Bay,MN 55323 `
(952)249-4600
CITY OF ORONO -USER DEFINED/GENERAL PERMIT
(All permits must be approved by the Building Official and/or Zoning Department)
Site Address: 12�0 Loma Linda Ave Mound MN 55364
Owner: Donald R. &Carolyn E. Udell Mailing Address: 1210 Loma Linda Ave
City: Orono Zlp: 55364
Home Phone: 952-471-8688 Alternate Phone: 952-926-9266
Contractor/App.: Contact Person:
Address: State License #:
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Stairwa�to Lake ❑ Retainin� ❑ Temporary Trailer
General—User Defined Surcharge General—User Defined Surcharge General—User Detined
*(Per UBC) *(Per UBC) *$30.00
*Estimated Cost: $ *Estimated Cost: $
❑ Docks-42"or Greater ❑ Land Alteration ❑ Zonin�Review
General—User Defined Surcharge General—User Defined General—User Defined
❑ Commercial-(Per UBC) � 0-500 Cubic Yards *ForO-75'Zone-$30.00
* Estlmated COSt: $ $50.00(Needs Site Plan)
General-User Defined ❑ 501+CubiC Yards
❑ Residential- $30.00 $50.00(Needs C.U.P.)
❑ Tree Removal �j p/I/Go��� �"Z5'"'�'`� �'vM�CJ d�`0'
General—User Defined �0
* W ithin 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 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.
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