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CITY OF ORONO * z 0 1 5 - 0 1 4 6 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/13/2015 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3255 CRYSTAL BAY RD <br /> P[N : 17-117-23-41-0012 <br /> LEGAL DESC : TOWNS[TE OF LANGDON PARK <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : ZON[NG PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75 <br /> APPLICANT TREE REMOVAL 0.00 <br /> WOLFE, MR&MRS WILLIAM TOTAL 0.00 <br /> 3255 CRYSTAL BAY RD <br /> WAYZATA, MN 55391- <br /> OWNER <br /> WOLFE, MR& MRS WILL[AM <br /> 3255 CRYSTAL BAY 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 permi[is for only the work described and does <br /> not grant permission for additional or related work which requires separa[e <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 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 <br /> revoked at any time for due cause. l <br /> 1 / <br /> ' �� �., �� �; �� ,�" �`f'��. ������ , _- � - <br /> ll G � <br /> Applicant Permitee Signature Date Issued By Signature : Date <br />