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CITY OF ORONO * Z 0 1 6 - 0 1 1 1 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/2U2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3630 EILEEN ST <br /> PIN : OS-117-23-21-0013 <br /> LEGAL DESC : RIEDEL CO STUBBS BAY ADDN <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) <br /> NOTE: NEW CONCRETE PATIO <br /> $2,000 S/B COLLECTED IN ESCROW FEE,PER PLANNING HOLDING ESCROW FOR ASSOCIATED PROJECTS TO BE USED <br /> NOTE:PRIOR TO RELEASE OF ESCROW MONEY AN AS-BUILT SURVEY AND HARD COVER CALCULATIONS MUST BE SUBMITTED <br /> AND APPROVFD. <br /> INIT[AL:_�y <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> OUTDOOR EXCAPES, INC. TOTAL 50.00 <br /> 2345 DANIELS STREET Payment(s) <br /> CREDIT CARD 4948 50.00 <br /> LONG LAKE, MN 55356- <br /> (952)926-6899 <br /> Minnesota State License#: BUIL-20630819 <br /> OWNER <br /> MCCUTCHEON,MARK&JAYME <br /> 3630 EILEEN ST <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 perniit 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 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 I 80 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 /> , _ 1��. <br /> _ <br /> 9'-�j./ � ��c� �_, � �� � �:�z, ��'�,�i ,�i� <br /> Applicant Permitee Signa ure Date Issued By Signature Date <br />