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, <br /> � CITY OF ORONO PERMIT NO.: 2011-00412 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 07/i U2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1100 MILLSTON RD <br /> PIN : 10-117-23-14-0015 <br /> LEGAL DESC : MILLSTON <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : POOL-IN GROUND <br /> ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS <br /> VALUATION : $ 185,000.00 <br /> NOTE: ADV.PLAN REVIEW FEE PD ON PERMIT 20 1 1-004 1 1$1018.39 <br /> IN-GROUND POOL -54'X 22' <br /> * AS-BUILT SURVEY REQUIRED PRIOR TO REL AS O ESCROW. l�INITLAL) <br /> **SEPTIC AREAS TO BE FENCED OFF A.S.A.P.� �(INITIAL) <br /> APPLICANT pERMIT FEE SCHEDULE 1,566.75 <br /> OLYMPIC POOLS,INC. STATE SURCHARGE(VALUATION) 92.50 <br /> 135 S ATWOOD STREET TOTAL 1,659.25 <br /> SHAKOPEE,MN 55379 <br /> (952)445-7779 <br /> Minnesota State License#:20458239 <br /> OWNER <br /> BURWELL,MR.&MRS.RODNEY P <br /> 7901 XERXES AVE S <br /> BLOOMINGTON,MN 55431- <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 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 all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cau / <br /> ��: <br /> �=-�-�z�/_C �,� 7 � (t i z�L� ,�/�.��-(�U�,,1�1�� 7 i // i //" <br /> A p p l i c a n t P e r m i t e e S i g n a t u r e D a t e Isspe By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />