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CITY OF ORONO * z 0 1 4 - 0 0 3 7 7 * <br /> , `' 2750 KELLEY PARKWAY DATE ISSUED: 04/28/2014 <br /> • ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 2060 SIXTH AVE N <br /> PIN : 27-118-23-31-0002 <br /> LEGAL DESC : UNPLATTED 27 118 23 <br /> : LOT 000 BLOCK 000 , <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : ,F�]�t�L �t.@.t.o�av►q b�S�j I� �'���"'�'� <br /> CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) <br /> NOTE: 2014-00376 ESCROW PERMIT <br /> ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS <br /> �.A..►�c� q,�-�' <br /> �E-��Ou.rt-�'"Q, '�`-r <br /> O <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> RETAINING WALL<4' S0.00 <br /> CHi1RCH,TRINTY LUTHERAN TOTAL 100.00 <br /> 2060 SIXTH AVE N Payment(s) <br /> LONG LAKE,MN 55356- CHECK 1011 100.00 <br /> OWNER <br /> CHURCH,TRINTY LUTHERAN <br /> 2060 SIXTH AVE N <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 sepazate <br /> permits. All provisions of Iaws and ordinances goveming 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 1 SO days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> . <br /> � � � 1� / / <br /> Applicaht ennitee Signa ure Date Issued By ' ature Date <br />