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CITY OF ORONO * 2 0 1 2 — 0 1 0 9 0 *. <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 1U06/2012 <br /> , ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3534 IVY PL <br /> PIN : 20-117-23-42-0019 <br /> LEGAL DESC : TAYLORS SUBD OF SPRING PARK LO <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERATION(501+CU YDS) <br /> NOTE: $AMOUNT TO BE DETERMINED BY CUP-SB COLLECTED IN ESCROW FEE <br /> * PRIOR TO ESCROW RELEASE,FINAL INSPECTION TO BE PERFORMED AND APPROVED BY CITY ENGINEER (INITIAL) <br /> ACTUAL ESCROW FEE AMOUNT COLLECTED $2,000 <br /> HOW DID THEY PAY? CHECK# 1241 <br /> ESCROW PERMIT#:(DON'T FORGET TO ENTER) 2012-01091 <br /> ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS <br /> APPLICANT MAJOR LAND ALTERATION 50.00 <br /> WILSON,RAY&TAMMY ENGINEERING REVIEW COSTS <br /> 3534 IVY PL <br /> WAYZATA,MN 55391- TOTAL 50.00 <br /> PAID WITH CC# 7469 <br /> OWNER <br /> WILSON,RAY&TAMMY <br /> 3534 IVY PL <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORI�i STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 related work which requires separ�te <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 r a period of 180 days at any time after work has commenced. <br /> The icant responsible for assuri all required inspections aze <br /> r uested in co formance with the te Building Code.This permit may be <br /> evoked at or e caus <br /> c'� / / /1/ � / / '� <br /> ' e �gnature Date " I ed By Signature Date <br /> �`" SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />