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` � CITY OF ORONO <br /> * Z 0 1 2 — 0 1 2 1 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/04/2012 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> REPRINTED ON 12/4/2012 <br /> ADDRESS : 2900 DEER RUN TR <br /> PIN : 04-117-23-24-0013 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN <br /> : LOT 008 BLOCK 004 <br /> PERMIT TYPE : ESCROW FEE-WETLAND <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-WETLAND <br /> NOTE: WETLAND BUFFER ESCROW TIED TO POOL PERMIT#2012-01130-PD W/CK#9724 BY ROBERT KACZKE <br /> APPLICANT ESCROW FEE-WETLAND 2,000.00 <br /> KACZKE,ROBERT&JILL TOTAL 2,000.00 <br /> 2900 DEER RUN TR <br /> LONG LAKE,MN 55356- <br /> OWNER Citv of Orora <br /> KACZKE,ROBERT&JILL ��eY p�Y y�_2�y_4b00 <br /> 2900 DEER RUN TR <br /> LONG LAKE,MN 55356- !leceipt No: 3.408065 � �, `'�1� <br /> pobert Kaczke <br /> AGREEMENT AND SWORI�i STATEMENT .� <br /> The work for which this permit is issued shall be perfortned according to pM'2V10115 Bdid8C2S <br /> the approved plans and specifications,applicable City approvals,and the p2T'�1t5 ��� <br /> �012-01210 2900 Deer Run 2, <br /> State Building Code. This permit is for only the work described and does Tr E - Poo1 <br /> not grant permission for additional or related work which requires sepazate 1�1—�� <br /> permits. All provisions of laws and ordinances governing this type of work Oef�.� ��-peveloper Oeposit <br /> shall be compied with whether or not specified herein.This pertnit will <br /> expire and become null and void if construction authorized is not Total C ��'� <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. �k <br /> The applicant is responsible for assuring all required inspections are (;�iECll r'�OC 472� ��'� <br /> requested in conformance with the State Building Code.This permit may be paYorS� <br /> revoked at any time for due cause. (aDD21"z KdCZke <br /> Total Applied: �+�•� <br /> / / _Op <br /> Applicant Permitee Signature Date n""� T�d�d' � � <br /> Issued By �gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />