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HomeMy WebLinkAbout1992-004161 - tree removal .� * ERMIT 1 �� �km{:t �.�"' �����e'�°a..� r�-f—s k r-�^• PERMIT TYPE: t i:_,��; Lj�F .!l�IGL� 1335 Brown Rd. South • P.O. Box 66 Permit Number: i��}����1 Crystal Bay, Minnesota 55323 Date Issued: ��f�:���J�`=�_ (612) 473-7357 SITE ADDRESS: :�1 i 5 ?������;T'r-� :����+��I=i� GFi C:H �'. I . N. � i�'i-:� �:-�:�.-_.�-���i��._; DESCRIPTION: -r•. <-��. r.:r�air f,;;: !i4k'�..G. )�r"_P'i+_�i�YfL.. � -�"r�:� n �J��}' �'�1'{il i r_ 1 Y_,'w.• i I'.''=.'��� i'i;_; i��Yt-t�.. t3—�i::�' �i��i`s�. �:���iEiPi��ii i• t�i - . �H� s�y s �.��r r�%"r a� ,� -.�` ' � , .r� � ' '�x �""y��^r � �"�"° ��,_ +j 4 1��M...�' � �, ���Y' �.� �6: _ � �V i ��n�a ew���"�p/��) �an�,�d� �, n. Y'� 'W a��Gn �" +, ������,�� .� �_� f r y �;*�A �, � �n� � � �� � �^i4. � � � � �n�M����r r�-� '��" �'r1�,7�^��4n�,uk p y �r�" tlw 4 ��� _ � �� a e a ���a°y'�� � v � � ���� �r� i���„// M1 ������tn � `� �- �` ry�'���"�'�"��N����h �r� h � - � � w - r � 1 fl � ',, � ��� �� �'���u w z '�. w ��' '����'��� �w`,:i „ '�"�"� '� „,a ' ."��i' _ � -i . � ip �� �� � p y�� .. �k�,�n �§s�� � LL � - � �6'' iiq�N re �;�� � � �����'� � � � k � � � a� q �1 �)^ �µ �k '�' ,3� _ '� q r � { �„�v�� ° �� ,, .�; �a .„ 9,,,�� �,�`� '' . . �.* x. . 4 �i.w , 7/T,e, .. ?�� . s�:� REMARKS: �"t "' ('''' �.Llf!'!l�4� C!l�C�LL _.._ ..i'�! ' 'i'-i'.��'� 1�1a.��2UVYYY �: �E�'LAC:ci iEtvT T�E�u:3 T!� C,E�: .i i�! !=�._;=;:��_� ,.�t ..:_(=°i . _ . �'� ��r�' 3v.�'; FEE SUMMARY: '�""'k� T� `} ` ' �.,����, � ,..,, �f4E��T-=f�r��'It' YuJ ;;�f s,��r� r'�1�f r��'1 �',��.•�� n"1�vorv t+ a r f �7J�4�s1 t ;�•-,:. bl�rf,3vi Ti C�cl�'1.--0 �L-'`C __......_�_,_$'_t:itJ{) litL.clJ. �CC �.::='.?_t3ii CONTRACTOR: OWNER: - �F'�`1 ������� - �;�_:;�_�iV �i I C:���F�D :�ti �.�; �,�:i�TH :=�H�:{�E C)�; ;��;,�t,•,��� ;1h; ��:�`�i ,t•�.`.i.—�i 3��`�3�+ -- �-:r-r: - -�?:_� _ ., ^ ; -:t�—r,r. �._ -- t [i= ! ;`-'i~�;•`�;�� x !a.' .. _ ':_t'�..,_._ �i 4,�i-,•"^ii �__ � .. i" .:I:1`il.�:_��s�.:��`.i y E.s ��.§{ t , i"sf_ i1;=!-i� ii'i,-'1''•.i._�•��i�T_4 i .r ; r =` � l �# •._ ... ' _ _ - _ - — ° , _ r. :;�,;:, ... , � • `.` _ ` - _ . . _. "_ . Y _. . • . - '' ° �♦ _ =t ^' .-�r __ �:' _e._e.? rii'�li.% t e_ i�_�__, : �..� �. .� �`:?. i_. Ys� t•. ?ii �i .T _ fivt '�F.f 's. ��j-C L t•� , _. -._:-. .-.. �- �.:.:.._ . �' -� �� �� . _ � .__ .._. ,._� t _ . _ . .. _ _�, �.,;�,'. � —.�,- ' ✓� �' � �,'� ;. t i ,�'s���;t_±;ti;s' 1 i_ti'ti_) �i`�iS�3{`t;..'._._ �;, ._3 ._�i .i , .:. ..J: i'��(is�i�.:.:=t_� ; �=i. L.••.'i_._�t 1!'•;_ _ 1 '•_ ;';.,i t #—; f`i 3� �;_ � � i �t' � t i � � APPLIC T/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ,���,J � CITY OF ORONO - BIIILDING PERMIT APPLICAZ'IOPI - Total Fee: $ � Date Received: /- :�3 -- 9 � Date Approved: � -- Entered By: Permit#: ��'t�; ' AT•T, INFORMATION I�iDST BE SOBMITTED IN FDLL BEPORE PLAN REVIEW WILL BE STARTED ------------------------------------- ----------------------------------------- THE APPLICANT IS: (circle one) OWN�or COh'TRACTOR � ) JOB SITE ADDRESS: �I)� �.�, `�,L��`�: � . ZIP: J�-�' -��/ � (work) NA� OF OWNER: ,�'�-��;J ��-�X�� PHONE: (home)��� "���-�� I- MAILING ADDRESS: '�l 1 � /�J. `7�-:%��-� ��^�.• CITY:I'�--�'�,`�� ZIP: .`�_� ��( I CONTRACTOR: PHONE: MAILING ADDRESS: CITY: ZIP' lUd�'e e�- �� ��`�- -' � �a.cev+nP.y►�' -I-,ree s �'o �Oe �� �a,� � � �' �� 1��!�. � � � � �° �YPE OF WORR: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration �ROPOSED WORR (describe in detail) : �rcTrlC'� ��.D T�'�� v��-c�i�I l-���. s���� � C�'r � '�t l l�f'��� �� a.��� �L-a �e�-v�-c�-�- ��..�.G�-�"�� `� �z� ` / s.� STORIES: SQ. i?EET OF EACH FLOOR: 1�i0. OF BEDROOMS: GARAG$ STALLS: ATT. DET. ESTIMATED CONSTRIICTION VALIIATION (excluding 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 Fermit and work is not to start without a �ermit; and that the work will be in accordance with the a��roved plan. APPI�ICANT'S SIGNATQRE: I� �'� �'_._��f°"`�----� DATE: ! ��' � ! � lPlease fill out t reverse side of this form) _. � � .�� � ' � �ITY of U�iONO Post Office Box 66•Crystal Bay,Minnesota 55323•Mnnicipsl Officea • � � � A � On the North Shore of Lake Minnetonka -- DATA_ �RIVACY �DVV�SORY In accordance with M.S. 15.165, "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 its 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 Iicense requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or Iicense. 3. The information may be shared with other Iocal, state or federal agencies to the extent necessary to process the permit or �icense. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain rights under M.S. 15.165 to review private data on yourself. 6. Your full name, and date of birth are required to process this application or permit. ;�t�1��Q ��� ��L�'`f . .----�---�--- --- .- First Middle Last �fi�'_ _ /V. ���-�=-_..�__------.---_. .._. --- .. _ _ ---- . _. . -- --- Address �.�� ��,�./ �-��� 1 _ _ - - -- - �, City State Z1p ���' � D�O� -- - -- -- . Phone I understand my rights as stated above. � � --�----- - ----� ----------- Signature BUILDING&ZON[NG-473-7357 • ADMINISTRA770N&FINANCE-473 7358 • PUBLIC WORKS-473-'I359 ASSESSI\C � � //, %J`., , ,�r7 j ,r�y"�. �.� 1 / l�.�.�� , . . . . . . i l � f � •� ` �j �� { ��,� � .� �. . ' ._- �,.�. _.. t��� . � y. \ �' �� f � � �� � ?� �,', . E . \ `' - �� 1 ��. �i r � f.�� f� � i� � � _ �.e` ' � ` • �{ �,' �/ ' ��� . . . / , . ' � \� �� �� . ��- . � - , . . .: I ... .�. �. .. ....._..__ , �. i � � ��� � \ �4� s+ ' , . i� � � �� 6 Y` ���,J , . . � �, .,. •._ ,. .� ,� �' r.�. . � �- � � r ��� . . _ ''� �!,, � �� �' ' � � •.�." � � `\ � �� 1 f�`;�. � ' ' '.� , \ � X r +', �... .1 �` ` ,, i .� . � . . ` . .\ �j , �, l �� �y ..` ..1 t � . �, . ` (l��`'��' {'� � � . � _. F-: � ��'� .�'.' �y�, ) .i... \ ,\�k� � \! t � \� � _ _�...,�„� ?t �p 4 °� `A (\ . � �. K._ - .. � �:; `y�. , _ � ,� �_ , c � x. 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