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� , � , „ <br /> p City of Orono <br /> O'�' �O� ��. ROR IT U5E ONLY��/�� <br /> P.O.Box 66 Date Received:/ y � Permit# <br /> 4�,,_ 2750 Kelley Park�vay <br /> �, �1���1_�=• � Crystal Bay,MN 55323 .. <br /> ����o�,G (952)249-4600 ,4mount; $�SU v� C.U.P Filed: <br /> Approved By. Site Plan: <br /> Recommends: A roval ❑ Denial ❑ <br /> CITY OF ORONO -USER DEFINED/GENERAL PERMIT <br /> (AI!pennits must be approved by the Buil ding Official and/or Zoning Department) <br /> 7ob Site/Owner Iiiforination: ' <br /> Site Address: STUBBS BAY, SWAN LAKE / "�(� /,�,� `�.-,�-�r <br /> Owner: MINNEHAHA CREEK Mailin;Address: 18202 MINNETOKA BLVD. <br /> WATERSHED DISTRICT <br /> City: DEEPHAVEN, MN Zip: 55391 <br /> Home Phone: �5 _4�� -0 5 c�� Alternate Phone: <br /> Contract,or/.Applic`ant Iriformation <br /> Contractor/App.:_SUNRAM CONST. Contact Person: PAUL KERANEN <br /> Address; 20010 75 TH AVENUE NORTH State License #: 81 15 <br /> City: CORCORA�, MNzip: 55340 ExpirationDate: 3-31-08 <br /> Phone: 7�3_4�n-2� 4n Alternate Phone: 612-282-7771 <br /> ° :�. `.Y. -: . . F �... "TYPES OF:USER DEEINED:PERMITS �-.,; ;;;=`.� <br /> ❑ Stairwav to Lake ❑ Retainine Walls ❑ Temporar Trailer <br /> General—User Defined Surcharge General—User DeFned 5urcharge General—User Defined <br /> * (Per UBC) * (Per UBC) *�30.00 <br /> *Estimated Cost: $ *Estimated Cost: � <br /> ❑ Docks—42" or Greater 0 Land Alteration ❑ ZoninQ Review <br /> General—User Defined Surcharge General—User Defined General—User Defined <br /> ❑ Commerciai—(Per UBC) ❑ 0-500 Cubic Yards *ForO-75'Zone-$30.00 <br /> * Estimated Cost: � �SO.00(Needs Site Planj <br /> Genera]—User Defined � 501+Cubic I'ards <br /> ❑ Residential - $30.00 �50.00 (Needs C.U.P.) <br /> ❑ Tree Removai <br /> General—User De6ned <br /> * Within 0-75' -530.00 <br /> I herby apply for a User Defined Permit and I acl:nowledge that the infonnation above is compfete and <br /> accurate;that the work will be in conformance with the Ordinances and Codes of the City and with the State <br /> Buildin�Code; that I understand this is not a permit and ���ork is not to start ���ithoui a permit; and that the <br /> ���ork«�ill be in accordance ���ith the approved plan. <br /> _ �- :,� ��i 1C���� 1 Z �- i �l � �`7 <br /> Appl�cant __. Date <br /> Reset Form (UsarDc��e¢p:rnir3;13-�y� <br />