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IMMMINNUM <br /> CITY OF ORONO * 2 0 1 4 - 0 1 0 6 4 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1560 TANGLEWOOD RD <br /> PIN : 26-118-23-32-0012 <br /> LEGAL DESC TANGLEWOOD <br /> LOT 003 BLOCK 001 <br /> PERMIT TYPE ZONING PERMIT <br /> PROPERTY TYPE RESIDENTIAL ��� � �a� bo� um <br /> CONSTRUCTION TYPE RETTAININGINING WALL<4 FEET <br /> NOTE: $2,500 S/B COLLECTED IN ESCROW FEE <br /> ACTUAL ESCROW FEE AMOUNT COLLECTED $2500.00 <br /> HOW DID THEY PAY? CHECK 423545 &WHO PAID? MOM'S LANDSCAPING <br /> ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS <br /> NOTE: PRIOR TO RELEASE OF ESCROW FUNDS AN AS BUILT SURVEY MUST BE SUBMITTED AND APPROVED OL <br /> INITIAL <br /> OTHER INSPECTION REQUIRED: SILT FENCE INSPECTION <br /> APPLICANT RETAINING WALL<4' 50.00 <br /> ENGINEERING REVIEW COSTS <br /> MOM'S LANDSCAPING& DESIGN MINOR LAND ALTERATION 50.00 <br /> 12276 JOHNSON MEMORIAL DRIVE <br /> SHAKOPEE,MN 55379- <br /> Payment(s) TOTAL 100.00 <br /> (952)277-6667 ts) <br /> Minnesota State License#: BUIL-BC638384 CHECK 23546 100.00 <br /> OWNER <br /> BUHMAN,DION&TANYA <br /> 1560 TANGLEWOOD RD <br /> LONG LAKE,MN 55356- <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 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 /> request 'n conformance with the State Building Code.This permit may be <br /> evo at ti for a use. <br /> 30'kd� i l <br /> Applicant Permitee Signature Date Issu y Signature Date <br />