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' ° ' " CITY OF ORONO PERMIT NO.: 20�o-oo�ss <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISsuEn: 12/02/2010 <br /> 952 249-4600 FAX: 952 249-4616 �� <br /> ADDRESS : 1860 SHADYWOOD RD <br /> PIN : 17-117-23-24-0018 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) <br /> VALUATION : $ 0.00 <br /> NOTE: $2,500 COLLECTED IN ESCROW FEE-PAID CHECK 5869 ESCROW PERMIT#:2010-00759 <br /> ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS <br /> EROSION CONTROL PLAN OR COPY OF MCWD EROSION CONTROL PERMIT REQUIRED <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> KENDALL LARSON RETAINING WALL>4' S0.00 <br /> 15001 APPALOSSA TRAIL <br /> PRIOR LAKE,MN 55372- TOTAL 100.00 <br /> (952)220-8011 PAID WITH CASH 100.00 <br /> OWNER <br /> OMLIE,WILLIAM&RHONDA <br /> 1860 SHADYWOOD RD <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for 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 specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within I 80 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 applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revo d at a e ause. <br /> �irD Z� ( b � D � <br /> Applicant Permitee Signature Date Issue Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />