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CITY OF ORONO * 2 0 1 6 - 0 1 0 1 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: O8/24/2016 <br /> ` ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2940 SIXTH AVE N <br /> PI N : 28-118-23-31-0001 <br /> LEGAL DESC : UNPLATTED 28 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERM[T TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) <br /> NOTE: GRAD[NG WORK FOR CONSTRUCTIO OF PUBLIC ROAD,DEER HILL ROAD,TO BE CONSTRUCED BY THE CITY OF MEDINA, <br /> CUP APPROVED <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> TOTAL 50.00 <br /> CITY OF MEDWA Payment(s) <br /> 2052 CTY RD 24 CHECK 10889 50.00 <br /> MEDINA,MN 55340- <br /> (763)473-4643 <br /> OWNER <br /> Stonegate Farm <br /> 901 TWELVE OAKS CENTER DR <br /> SUITE 928 <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. Ali provisions of laws and ordinances governing this type of work <br /> shall be compied with whedier or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer 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 /> rev ed at any time for due cause. �i� <br /> r'� _ � <br /> ��U ��`t ���� ��� 1 ���..�� ��v � i Z �i � �D <br /> Applicant Permitee Signature Date Issued By Signature Date <br />