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� ' CITY OF ORONO * Z 0 1 3 — PJ 0 9 1 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/09/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 930 COX FARM RD <br /> PIN : 27-118-23-33-0013 <br /> LEGAL DESC : SHADOWOOD FARM <br /> : LOT O10 BLOCK 001 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : POOL- IN GROUND <br /> ACTIVITY : 649-ALL OTHER BUILDING& STRUCTURES <br /> APPLICANT STRUCTURE PERMIT 50.00 <br /> MINNESOTA POOLS, INC. TOTAL 50.00 <br /> 3405 NORTH H[GHWAY 169 <br /> PLYMOUTH, MN 55441- <br /> (763)542-9000 <br /> Minnesota State License�: BG2026645 <br /> OWIVER <br /> KILLINGSTAD, MR.& MRS. <br /> 930 COX FARM RD <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he�aork for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> Statc C�uilding Code. This permit is for only the work describcd and docs <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specifted herein.This permit�vill <br /> cxpire 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 /> I�he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be - <br /> revoked a[ � du� �ause. �� <br /> � � � � � � / � / <br /> Applicant m� S gnat c Date [ssu [3y Signa re Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />