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. � <br /> CITY OF ORONO * 2 0 1 4 — 0 1 1 0 4 * <br /> 2750 K�LLEY PARKWAY �ATE [ssu�n: 09/29/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1855 CONCORDIA ST <br /> � P[N : 17-117-23-22-0038 <br /> LEGAL DESC : FAGERNESS WOODS <br /> ; LOT 002 BLOCK 001 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERATION (501+CU YDS) <br /> NOTE: $AMOUNT TO I3E DE"TERMINED BY CUP-S/f3 COLLEC"CED IN GSCROW PL;E <br /> ACTUAL I�:SCROW PIiL;AMOUN"I'COI.LF.CTI;D $ �ppQ�-'MARGAREI'KGLLY-CHECK#8276 PLUS'CHE$700 PREVIOUSI,Y <br /> COLLLC"I�Ell. <br /> NO"I�F.: CI"I�Y STAP'�SHALI, INSPECT"rHE PROPER"I'Y ONCE GACH YEAR IN 201�AND 2016 TO ENSURE T�6 PLANS ARL SET FORT� <br /> IN�I�FiIS RI�SOLUTION NUM{3F_R#6449 HAVF,l31',1=,N FC)LLOWED AND THE VEGF,A7'ION ES"I'Ai3LISHED. INITIAL <br /> APPLICANT MAJOR LAND ALTERATION 50.00 <br /> ENGINEERING REV[EW COSTS <br /> KF,LLY, JAMES& MARGARET TOTAL 50.00 <br /> 1855 CONCORDIA S. Payment(s) <br /> WAYZATA, MN 55391- CHECK 8276 50.00 <br /> OWNER <br /> KELLY, JAMES& MARGARET <br /> 1855 CONCORDIA S. <br /> WAYZATA, MN 55391- <br /> AGREEMENT ANll SWORN STATEMENT <br /> l�he work for�vhich this pcnnit is issued shall be perfornied according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is Ybr only the work described and docs <br /> not grant permission fbr 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.'l�his permit will <br /> expire and become null and void if consuuction authorized is not <br /> commenced�vithin 180 da}�s of the date of issuance,or il�construction is <br /> suspended for a period of 180 days at am�time after���ork has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in contormance wi[h the State I3uilding Code."I'his permit may be <br /> revoked at any time for due cause. <br /> �� l `� 2� � o � ,z�, �� <br /> plica "t c itee Sign e ate Iss By Signature Date <br />