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CITY OF ORONO PERMIT NO.: 2010-00395 <br /> • ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE [ss[1ED: 06/09/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3799 CASCO AVE <br /> PIN : 20-117-23-32-0021 <br /> LEGAL DESC : CASCO HEIGHTS <br /> : LOT 014 BLOCK 004 <br /> PERMIT TYPE : USER DEFINED <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERAT[ON (0-500 CU YDS) <br /> APPLICANT LAND ALTERATION 50.00 <br /> OUTDOOR EXCAPES, INC. <br /> 2345 DANIELS STREET MISC FEE 0.00 <br /> LONG LAKE, MN 55356- TOTAL 50.00 <br /> (952)926-6899 <br /> Minnesota State License#: 20630819 <br /> OWNER <br /> DAVIES,JEFF&KRESTA <br /> 3799 CASCO AVE <br /> WAYZATA, MN 55391- <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 hereia 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 co imanCe w the State Building Code.This permit may be <br /> revoke aLa t � i <br /> C� /�' <br /> / / / `� � `7 �/v <br /> Appl�cant Permrtee ignature Date � <br /> Issue ��Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />