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CITY OF ORONO * Z 0 1 5 - 0 0 4 4 9 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 04/28/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1485 LONG LAKE BLVD <br /> PIN : 35-118-23-22-0001 <br /> LEGAL DESC : LJNPLATTED 35 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) <br /> NOTE: $2,000 IN ESCROW MUST BE COLLECTED PRIOR TO ISSUING ZONING PERMIT. <br /> ESCROW FEE FOR EROSION CONTROL&ENGINEERING REVIEW COSTS <br /> NOTE: PRIOR TO RELEASE OF ESCROW MONEY,A FINAL INSPECTIN MUST BE CALLED FOR AN�APPROVED. INITIAL:��� <br /> / <br /> �-� <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> ENGINEERING REVIEW COSTS <br /> GREENLEY,KURTIS TOTAL 50.00 <br /> 1485 LONG LAKE BLVD Payment(s) <br /> LONG LAKE,MN 55356- CHECK 1179 50.00 <br /> OWNER <br /> GREENLEY,KURTIS <br /> 1485 LONG LAKE BLVD <br /> LONG LAKE,MN 55356- <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 dces <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming 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 consVuction authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of I80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked a any 'me for du ause. <br /> _ �8� � �_ ,z�--, /�.5 <br /> p cant ermitee Signature Date Issued y Signature Date <br />