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t r <br /> � CITY OF ORONO �� <br /> 2750 KELLEY PARKWAY * z 0 1 2 - 0 1 1 6 8 * <br /> DATE ISSUED: OS/24/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> REPRINTED ON 5/24/2013 <br /> ADDRESS : 3025 CASCO POINT RD <br /> PIN : 20-117-23-34-0002 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0394 <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: $2,000 S/B COLLECTED IN ESCROW FEE <br /> ACTUAL ESCROW FEE AMOUNT COLLECTED $2,000.00 PD CHECK#16317 BY SCOTT STANDA <br /> ESCROW PERMIT#:(DON'T FORGET TO ENTER) 2012-01169 FOR EROSION CONTROL&ENGINEERING R�VI�W COS"I'S <br /> * PLAN HAS BEEN REVIEWED&APPROVED BY THE OWNER AT 3015 CASCO PT RD�/(�BEL) <br /> * IF APPLICANT CHOOSES TO CONDUCT GRADING OUT E THE EASEMENT INSTEAD OF WALL AS SHOWN,WRITTEN <br /> PERMISSION FROM SEIDELS MUST BE SUBMITTEU. (STANDA) <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> STANDA, SCOTT& IRENE ENGINEERING REVIEW COSTS <br /> 3025 CASCO POINT RD <br /> WAYZATA, MN 55391- TOTAL 50.00 <br /> OWNER <br /> STANDA, SCOTT& IRENE <br /> 3025 CASCO POINT RD <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 goveming 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 I 80 days at any time after work has commenced. <br /> The applicant is responsiblc for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at'an for due cause. <br /> � �7/ L� !/L 5/ �25�/ �� <br /> Applicant Permitee Signature Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />