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� . �. CITY OF ORONO * Z B 1 2 - PJ 0 3 6 5 * <br /> , �T. 2750 KELLEY PARKWAY DATE ISSUED: OS/14/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3409 EASTLAKE ST <br /> PIN : OS-117-23-13-0036 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT 000 BLOCK 008 <br /> PERMIT TYPE : ZONING PERM[T <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) <br /> �Fr/-si��- <br /> NOTE: DRIVEWAY REPI,ACEMEN"I' <br /> LAND ALTERATION-MINOR <br /> ESCROW COLLECTED$2000.00 PERMIT 2012-00400 <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> OVSYANNIKOVA, MIKHAIL&ELENA <br /> 3409 EASTLAKE ST ENGINEERING REVIEW COSTS <br /> LONG LAKE, MN 55356- TOTAL 50.00 <br /> OWNER <br /> OVSYANN[KOVA, MIKHA[L& ELENA <br /> 3409 EASTLAKE ST <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issucd shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State E3uilding Code. This perniit is for only the work described and does <br /> not grant permission for additional or rela[ed 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 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. <br /> � iFr//! O�l��(cLv�h'�kc.;�-} �� 5 �I`f/ i � ^ 0/�'1�-'� � � <br /> npplicant Permitee ' nature Date Issued By S� ature ate <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />