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CITY OF ORONO <br /> * 2 0 1 4 - 0 0 9 6 7 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/09/2014 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: 952)249-4616 <br /> ADDRESS 200 TRUFFULA TR <br /> PIN 33-118-23-44-0039 <br /> LEGAL DESC MEADOW WOOD POND <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE ZONING PERMIT <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE LAND ALTERATION(0-500 CU YDS) <br /> NOTE: $2,000 SB COLLECTED IN ESCROW FEE <br /> ACTUAL ESCROW FEE AMOUNT COLLECTED $2500.00 <br /> ESCROW PERMIT#:2014-00861 <br /> ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS <br /> NOTE: PRI TO L ASE OF ESCROW FUNDS,AN AS-BUILT SURVEY MUST BE SUBMITTED AND APPROVED INCLUDING ITEMS <br /> SHOWN O PROP S D SURVEY INCLUDING GOLF GREEN AND FIRE PIT. ALL DISTURBED AREAS MUST BE REVEGETATED. <br /> INITIAL: <br /> NOTE: BUI PLA A D ILDING PERMIT APPLICATION REQUIRED FOR CONSTRUCTION OF DETACHED ACCESSORY <br /> STRUCURE,DECK <br /> AND STAIRS. INITIA <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> TOTAL 50.00 <br /> ADAMS,MR.&MRS. Payment(s) <br /> 200 TRUFFULA TR CREDIT CARD 4730 50.00 <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> ADAMS,MR.&MRS. <br /> 200 TRUFFULA TR <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 /> requeste ormance with the State Building Code.This permit may be <br /> (4Ap <br /> at any ti a fo a au <br /> p .% <br /> li lyt� P C1YI/i Cel �i �i �/ <br /> a igna Issued By Signature Date <br />