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I VIII III II II ILII II II III <br /> CITY OF ORONO * 20 17 - 00855 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/02/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4760 WEST BRANCH RD <br /> PIN : 06-117-23-33-0002 <br /> LEGAL DESC : UNPLATTED 06 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) <br /> NOTE: MINOR LAND ALTERATION FOR PATIO AND FIRE PIT <br /> NOTE: ESCROW WILL BE REFUNDED AFTER FINAL INSPEnNS HAVE BEEN COMPLETED AND ALL DISTURBED AREAS HAVE <br /> BEEN ESTABLISHED WITH VEGETATION. INITIAL: <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> TOTAL 50.00 <br /> RODEWALD,MICHEAL&CARMAN Payment(s) <br /> 4760 WEST BRANCH RD CHECK 5170 50.00 <br /> MOUND,MN 55364 <br /> OWNER <br /> RODEWALD,MICHEAL&CARMAN <br /> 4760 WEST BRANCH RD <br /> MOUND,MN 55364 <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 <br /> revoked at any time <br /> ^for <br /> )due cause. (//� [ / <br /> iMY- <br /> 62) <br /> Applicant Permitee ignature Date / Issued By .gn� Date <br />