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CITY OF ORONO III l 1111111 11 Ill6 - 0 11111111 11 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/17/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 520 BIG ISLAND <br /> PIN : 22-117-23-42-0021 <br /> LEGAL DESC : REARRANGEMENT OF LOT 1 KITCHEL'S <br /> : LOT MB BLOCK MB <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 $2,000 <br /> HOW DID THEY PAY? CK#2881 &WHO PAID?BIG ISLAND INC. <br /> ESCROW PERMIT#:(DON'T FORGET TO ENTER) 2016- <br /> ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> TOTAL 50.00 <br /> THN ENTERPRISES Payment(s) <br /> 500 WEST LAKE ST. CHECK 2881 50.00 <br /> EXCELSIOR,MN 55331- <br /> (952)474-9454 <br /> OWNER <br /> Big Island Inc. <br /> AUSTIN,DAN <br /> 4860 RUSTIC WAY <br /> SHOREWOOD,MN 55331- <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 /> requested in conformance with the State Building Code.This permit may be /1172 <br /> revoked at any time for due cause. <br /> OU` ("kei °Ad(' gytAA., <br /> L( ( SC /0 / /(6 <br /> � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />