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� ,. CITY OF ORONO * 2 0 1 4 - 0 0 9 3 2 * <br /> � 2750 KELLEY PARKWAY DATE ISSUE�: 11/03/2014 <br /> • ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4460 FOREST LAKE LANDING <br /> PIN : 07-117-23-24-0015 <br /> LEGAL DESC : TONKAVIEW GARDENS <br /> : LOT O10 BLOCK 000 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERAT'ION (0-500 CU YDS) <br /> NOTE: $2,500 S/B COLLECTLD IN ESCROW 1'1�.1. <br /> HOW DID TH�Y PAY?CH�CK&WHO PAID?LEE'S I,ANDSCAPING <br /> ESCROW PGRMIT#: 2014-01066 <br /> ESCROW FEE FOR: GROSION CONTROL& ENGINEI?RING RI',VIEW COSTS <br /> RF;I'AINING WALL AND LAND ALTGRATION <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> ENGINEER[NG REVIEW COSTS <br /> LEE'S LANDSCAPING & DESIGN RETAINING WALL<4' S0.00 <br /> 7990 69TH AVE N <br /> ROCKFORD, MN 55373- TOTAL 100.00 <br /> (763)688-1217 Payment(s) <br /> Minnesota State License#: BUIL-BC665790 CHECK 1702 100.00 <br /> OWNER <br /> BARTA, TOM &JANICE <br /> 4460 FOREST LAKE LANDING <br /> MOUND, MN 55364- <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[�uilding Code. This permit is for only the work described and does <br /> not grant pennission 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 il�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' I 80 da}�s 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 an��time for due cause. <br /> 11 � �Za `1 ��✓12�r� ! �v� �/ <br /> Ap ieant P rtee Signature Date Iss d E�y Signature Date <br />