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CITY OF ORONO PERMIT NO.: 2011-00809 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/16/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 2985 WATERTOWN RD <br /> PIN 04-117-23-21-0001 <br /> LEGAL DESC AUDITOR'S SUBD.NO.230 <br /> LOT 006 BLOCK 000 <br /> PERMIT TYPE ZONING PERMIT <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE LAND ALTERATION(0-500 CU YDS) <br /> NOTE: THIS PERMIT INCLUDES BOTH MINOR LAND ALTERATION AND RETAINING WALL <br /> $2,000 SB COLLECTED IN ESCROW FEE <br /> ACTUAL ESCROW FEE AMOUNT COLLECTED $2,000.00 <br /> HOW DID THEY PAY? CK#5138 &WHO PAID?RICHARD GHERADI <br /> ESCROW PERMIT#:(DON'T FORGET TO ENTER) 2011-00870 <br /> ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS <br /> APPLICANT <br /> MINOR LAND ALTERATION 50.00 <br /> GHERARDI,LORI <br /> 1010 WILLOW VIEW LANE RETAINING WALL<4' 50.00 <br /> LONG LAKE,MN 55356- TOTAL 100.00 <br /> OWNER <br /> GHERARDI, RICHARD&LORI <br /> 1010 WILLOW VIEW LANE <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 n� <br /> requested in conformance with the State Building Code.This permit may be <br /> qvoke at any time for due cause.plicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />