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CITY OF ORONO * z 0 1 z - 0 1 1 3 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/04/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> �'.DDRESS : 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 : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : POOL- IN GROUND <br /> ACTIVITY : 649-ALL OTHER BUILDING& STRUCTURES <br /> VALUATION : $ 15,000.00 <br /> NO'I'E: SEPARATE PERMITS REQUIRED: MECHANICAL AND ELECTRICAL(STATE) <br /> * WETLAND BUFFER IMPROVEMENT PLAN MUST BE SUE3M[TTED PRIOR TO RELEASE OF BUILDING PERMIT ESCROW. <br /> ([3UFFER ESCROW TO BE HELD ACCORDING TO ESCROW AGREEMENT PROVISIONS.) <br /> � � <br /> APPLICANT PERMIT FEE SCHEDULE 265.50 <br /> PERFORMANCE POOL& SPA STATE SURCHARGE(VALUATION) 7.50 <br /> 1890 WOODDALE DRIVE <br /> WOODBURY,MN 55125 TOTAL 273.00 <br /> (651)731-3440 <br /> OWNER <br /> KACZKE, ROBERT&JILL <br /> 2900 DEER RUN TR <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> I'he work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permi[is for only the work described and does <br /> not grant permission Yor additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied herein.This permit will <br /> expire and become null and void if consVuction authorized is not <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. <br /> The app icant is responsible for assuring all required inspections are <br /> reque t d� onforma e with the State Building Code.This permit may be <br /> revo t any e for d e cause. <br /> � � <br /> . , -, /�j l l /02- <br /> App icant Permrtee Signature, � Date Issue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />