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CITY OF ORONO * Z 0 1 6 - 0 1 2 4 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2016 <br /> � ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1225 DICKENSON ST <br /> PIN : 02-117-23-31-0048 <br /> LEGAL DESC : M[NNETONKA BLUFFS <br /> : LOT 000 BLOCK 016 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 30,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 30,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BOULDER RETAINING WALL>4' <br /> PF,RMIT#THIS PRE-PAYMENT IS TIED TO:2016-01 183 <br /> APPLICANT ADVANCED PLAN REVIEW 318.58 <br /> TOTAL 318.58 <br /> BOULDER IMAGES Payment(s) <br /> 1225 DICKENSON CREDIT CARD 0764 318.58 <br /> WAYZATA, MN 55391- <br /> (651)322-7499 <br /> OWNER <br /> GIEL,TOM&SARAH <br /> 1225 DICKENSON STREET <br /> WAYZATA, MN 55391- <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 rclated 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 I80 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 /> � l � � <br /> , _.-- /�/ �� ��' l�J��-��'� ��C,C;�S(r, �� / _?r� / ��- <br /> �, licant Permitee Signature Date [ssued By Signature Date <br />