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CITY OF ORONO * Z 0 1 3 - 0 0 1 6 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/30/2013 <br /> • ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1480 BOHNS POINT RD <br /> PIN : 09-117-23-33-0004 <br /> LEGAL DESC : UNPLATTED 09 117 23 <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: <br /> ACTUAL ESCROW FEE AMOUNT COLLEC"I'ED $2500.00 <br /> ESCROW PERMIT#:(DON'T FORGET TO ENTER) 2013-00203 <br /> ESCROW FEE FOR: EROSION CONTROL&F,NGINEERING REVIEW COSTS <br /> APPLICANT <br /> MINOR LAND ALTERATION 50.00 <br /> ALTON III, HOWARD ENGINEERING REVIEW COSTS <br /> 1480 BOHNS PT RD <br /> WAYZATA, MN 55391- TOTAL 50.00 <br /> PAID WITH CC# 9309 <br /> OWNER <br /> ALTON III, HOWARD <br /> 1480 BOHNS PT 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 gran[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 permi[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 construc[ion 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 S[ate Building Code.This permit may be <br /> revoked at any time for due cause. <br /> _"�-__��.�i 3�i 13 <br /> �Applicant Permitee Signature Date � � <br /> Issued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHE THAN DESCRIBED ABO E. <br />