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CITY OF ORONO II 11 j!1III II HIJI I II II <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/07/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 945 WILLOW VIEW DR <br /> PIN : 28-118-23-44-0009 <br /> LEGAL DESC : WILLOW VIEW <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : POOL-IN GROUND <br /> ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS <br /> VALUATION : $ 18,000.00 <br /> NOTE: THE SURVEY DATED 1/30/2014 SHOWS ALL IMPROVEMENTS ARE LOCATED OUTSIDE THE CITY'S EASEMENT. THE CITY <br /> ENGINEER WILL VERIFY THE AS-BUILT SURVEY SUBMITTED AT THE TIME OF PROJECT COMPLETION AND WILL VERIFY THERE <br /> ARE NO CHANGES OR IMPROVEMENTS INSTALLED WITH THE CITY'S EASEMENT. PLEASE BE AWARE IF ANY CHANGES TO THE <br /> APPROVED PLAN ARE MADE OR IMPROVEMENTS INSTALLED WIT T ITY'S EASEMENT,WE WILL REQUIRE AN <br /> ENCROACHMENT AGREEMENT PRIOR TO THE RELEASE OF ESCROW ITIAL <br /> APPLICANT PERMIT FEE SCHEDULE 309.75 <br /> CUSTOM POOLS PLAN REVIEW 201.34 <br /> 8960 EXCELSIOR BLVD STATE SURCHARGE(VALUATION) 9.00 <br /> HOPKINS, MN 55343 TOTAL 520.09 <br /> (612)933-2255 Payment(s) <br /> Minnesota State License#: 5023 CHECK 25009 520.09 <br /> OWNER <br /> HUBBARD, TIMOTHY&AMY <br /> 945 WILLOW VIEW DR <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 /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> . L.\117 (—/ 7 7 <br /> .. ' .nt Permitee '�tiTi1T• Date Issu By Signature Date <br />