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' CITY OF ORONO * 2 P1 1 4 - PJ 1 1 z 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/O1/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3251 CASCO CIR <br /> PIN : 20-117-23-43-0007 <br /> LEGAL DESC : SPRING PARK <br /> : LOT O11 BLOCK 000 <br /> PERMIT TYPE : ZONWG PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERATION (0-500 CU YDS) <br /> NOTG: AF"I�ER"C}IL 1'ACT PERM[T FOR SMALL LAKESIDE PATIO <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> KOCH, WILLIAM & LAURA ENGINEERING REVIEW COSTS <br /> 3251 CASCO CIR MISC FEE 50.00 <br /> WAY7,ATA, MN 55391- TOTAL 100.00 <br /> � Payment(s) <br /> CHECK 5376 100.00 <br /> OWNER <br /> KOCH, WILLIAM &LAURA <br /> 3251 CASCO CIR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> fhc 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 dcscribcd and does <br /> not grant permission for additional or related worh 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 authori�ed is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 days at any time after work has commenced. <br /> I he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the Statc Building Code.This permit may be <br /> revoked at any time for due cause. <br /> o /� ,o � ,/`� <br /> Applicant Permitee Signature Date Issu F3y Signature Date <br />