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t <br /> � CITY OF ORONO PERMIT NO.: 2011-00916 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUEn: 08/30/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3745 SHORELINE DR <br /> PIN : 20-117-23-21-0025 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 005 BLOCK 007 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RELIGIOUS <br /> CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) <br /> NOTE: THIS PERMIT MINOR LAND ALTERATION AND A RETAINING WALL <br /> * SEE 11-18-10 ENGINEER LETTER: PL NOTE COMPLETION OF PHASE 2 OR FUTURE CONSTRUCTION WILL TRIGGER THE <br /> CITY'S WETLAND REGULATIONS.���INITIAL) � <br /> *KEEP SITE DISTURBANCE TO A IMUM OF 5000 SQUARE FEET. z��(INITAL) <br /> C <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> CHURCH,GOOD SHEPHERD LUTHERAN <br /> 3745 SHORELINE DR TOTAL 50.00 <br /> WAYZATA,MN 55391- <br /> OWNER <br /> CHURCH,GOOD SHEPHERD LUTHERAN <br /> 3745 SHORELINE DR <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit 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 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 applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any ti for due c <br /> �- � ��l�o i Zv l/ 8'��p � � <br /> Appli ermitee Signature Date Issued Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />