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, CITY OF ORONO * 2 0 1 4 - 0 0 4 6 0 * <br /> ` 2750 KELLEY PARKWAY DATE ISSUED: 08/08/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3350 FOX ST <br /> PIN : OS-117-23-44-0008 <br /> LEGAL DESC : FULLERTON ESTATES <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE . ZONING PF,RMIT <br /> �.ity ur iiror�� <br /> PROPERTY TYPF, . RESIDENTIAL 2750 !'elley Parkway <br /> Oruno MN 5Ei356 952-�4��-460� <br /> CONSTRUCTION TYPE . LAND ALTERATION (0-500 CU YDS) <br /> Receipt No: 3.U11509 Aug �, [014 <br /> NOTG: LAND ALTF?RATION FOR�ARDEN WATER PEA7'URI; SlgnatUl'e PoGls <br /> Previous Balance: .00 <br /> Permits <br /> 2014-00460 3350 Fox St 50.OU <br /> 101-32510 <br /> Bc�ildin� Permits <br /> Total: ------ 5U.00 <br /> Check <br /> Check No: 1736 50.OU <br /> Payor : <br /> ;iyn�iti.ire Pon!s <br /> Tnt:�+l Gnnlir�rl• ��i "�' <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> TOTAL 50.00 <br /> SIGNATURE POOLS LTD. Payment(s) <br /> P O BOX 299 CHECK 1736 50.00 <br /> EXCELS[OR, MN 55331- <br /> (612) 867-3457 <br /> OWNER <br /> BIGOS,NANCY <br /> 3350 FOX S"T <br /> LONG LAKE, MN 55356- <br /> AGREEMEIVT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perlormed according to <br /> the approved plans and specifications,applicablc City approvals,and the <br /> State[3uilding Code. 'I�his permit is for only the work described and docs <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied���ith�vhether or not specified herein.'1'his permit will <br /> expire and become null and void if construction authorircd is not <br /> commenced within 180 days of the datc of issuance,or if construction is <br /> suspended for a period of 180 days at any time a�J,er_work�as commenced. <br /> The applicant is responsible for ass.urk+ig�1l�required inspections are <br /> requested in conformancC•�+'�tii�the State[�uilding Code.�fhis permit may bc <br /> revoked at any tim due cause. <br /> � J,- / ./� <br /> �! <br /> `"j��l \�� , �-- �,� �� c�ncc,�� � � �l� <br /> Ap ieant Permitee ignature Dale Issued B��Signature Date <br />