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� � CITY OF ORONO * 2 0 1 5 — 0 0 9 8 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/28/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1180 LOMA L1NDA AVE <br /> PIN : 08-117-23-23-0002 <br /> LEGAL DESC : LTNPLATTED 08 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : RETAINING WALL<4 FEET <br /> NOTE: $2,500 SB COLLECTED IN ESCROW FEE <br /> ACTUAL ESCROW FEE AMOUNT COLLECTED $2500.00,PAID CHECK#2422 BY MATTHEW BURNS-PERMIT#2015-00986 <br /> NOTE: HARDCOVER WITHIN-75'ZONE NOT TO EXCEED 619 S.F. <br /> NOTE: WRITTEN PERMISSION FROM NEIGHBOR REQUIRED PRIOR TO WORK ON PROPERTY TO THE NORTH(SUBMI'1� <br /> APPLICANT RETAINING WALL<4' S0.00 <br /> TOTAL 50.00 <br /> DALE GUSTAFSON , Payment(s) <br /> 1845 WISCONSIN AVE N CHECK 2422 50.00 <br /> GOLDEN VALLEY,MN 55427- <br /> (763)5444215 <br /> OWNER <br /> BURNS,MATTHEW <br /> 18660 AZURE ROAD <br /> DEEPHAVEN,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 Buiiding Code. This permit is for only the work described and dces <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 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 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring a►I 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 /> ���� ,a �;i <br /> � <br /> Applicant ermit Signature Date Issu d Si ature Date <br />