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� CITY OF ORONO * Z 0 1 6 - 0 0 5 2 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/26/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4680 CREEKWOOD TR <br /> PIN : 30-118-23-33-0005 <br /> LEGAL DESC : PAINTERS WOODS <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOI�T TYPE : LAND ALTERATION(0-500 CU YDS) <br /> NOTE: REPLACEMENT OF CULVERT UNDER DRIVEWAY <br /> APPLICANT MINOR LAND ALTERATION 0.00 <br /> TOTAL 0.00 <br /> MINNEHAHA CREEK WATERSHED DISTR[CT <br /> 15320 MINNETONKA BLVD <br /> MINNETONKA, MN 55345- <br /> (952)641-4513 <br /> OWNER <br /> OLSEN, DALE&JONMARI <br /> 4680 CREEKWOOD TR <br /> MAPLE PLAIN, MN 55359 <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. All provisions of laws and ordinances governing 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 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. <br /> . � <br /> 7"-� � � l 2l0� /(o <br /> Applicant Permitee Signature Date Issued Signature Date <br />