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CITY OF ORONO PERMIT NO.: 2011-01245 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 5�356- DATE ISSUED: 10/14/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 141 CHEVY CHASE DR <br /> PIN � : 36-118-23-41-0026 <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 /> NOTE: ESCROW FOR RAINGARDEN-PAID W/CK 10225 ON ]0/14/11 BY OWNER FOR PERMIT#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 permission for additional or related work which requires separate <br /> permits. AII 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 after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be n�„ <br /> r,a�voked at an tim or due us . �I(f`/ <br /> �� 1 v � �`� � i ��-'1�--�--C�e C��LL dl , ja,—i�-�l <br /> AppTi a�t Permitee Signature Date <br /> - Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />