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` � CITY OF ORONO * 2 B 1 4 - 0 0 9 0 4 * <br /> ' � 2750 KELLEY PARKWAY DATE ISSUED: 09/10/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3510 BAYSIDE RD <br /> P1N : OS-117-23-13-OO16 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 203 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : RETAINING WALL<4 FEET <br /> NOTE: $2.000 SB COLLECTED IN ESCROW' FEE <br /> ACTUAL ESCROW FEE AMOUNT COLLECTED $2,000 <br /> HOW DID THEY PAY? CK#17009 &WHO PAID?GREGG LARSEN <br /> ESCRO W PERMIT#:(DON'T FORGET TO ENTER) 2014-01004 <br /> ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS <br /> APPLICANT RETAIN ING WALL<4' S0.00 <br /> MINOR LAND ALTERATION 50.00 <br /> LARSEN, GREGG& STEPHANIE TOTAL 100.00 <br /> 3510 BAYSIDE RD <br /> LONG LAKE, MN 55356- Payment(s) <br /> CHECK 17017 100.00 <br /> Receipt No: 3.011750 ae�� ,._. <br /> OWNER Gregg Lar-sen <br /> LARSEN, GREGG& STEPHANIE Previous Balance: .00 <br /> 3510 BAYSIDE RD Permits <br /> LONG LAKE,MN 55356- 2014-00901 3510 Bayside 100.00 <br /> Rd <br /> lU1-32510 <br /> Buildiny Permits <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed accordine to Tuta 1: 1 u0.U�! <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 Check <br /> not grant permission for additional or related work which requires separate Cf�eck No: 17017 100.00 <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 PayO�": <br /> expire and become null and void if construction authorized is not GI'89y Ldl'sell <br /> commenced within 180 days of the date of issuance,or if construction is fGt81 App 1]0d: 100.00 <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 ChargC T^^a^'^.�. nn <br /> requested in co ormance with the State Building Code.This permit may be <br /> revoked at tim due cause. , ' <br /> / �-�. � � C��`J � i /Z i <br /> Appl" rmitee Signature Date Issued By Signature Date <br />