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CITY OF ORONO PERMIT NO.: 2ou-o�2as <br /> ` 2750 KELLEY PARKWAY <br /> ` ORONO, MN 55356- �ATE �ssuEu: 10/14/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 141 CHEVY CHASE DR <br /> PIN : 36-]18-23-41-0026 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 021 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE- WETLAND <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE- WETLAND <br /> NOT'E: ESCROW FOR RAINGARDEN-PAID W/CK 10225 ON ]0/14/1 1 I3Y OWNER FOR PERM["l�#2011-00476 <br /> APPLICANT ESCROW FEE- WETLAND 500.00 <br /> REMARK, ROGER& MEGAN TOTAL 500.00 <br /> 141 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> OWNER <br /> REMARK, ROGER&MEGAN <br /> 141 CHEVY CHASE DR <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 pennission 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 180 days at any time afrer work has commenced. <br /> The applicant is responsible Yor assuring all required inspections are <br /> requested in confonnance wi[h the Sta[e Building Code.This permit may be n`n <br /> r,a�voked at an [im or due us . l��I� <br /> ` � 1� � � `� � � ��-� Ce ��'►'1���%'' � 10�—�`���l <br /> Appri a�tt Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />