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CITY OF ORONO � 1 6 - 0 0 5 2 5 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: OS/18/2016 <br /> � ORONO, MN 55356- <br /> 952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 45 MYRTLEWOOD RD <br /> PIN : 36-118-23-33-OO15 <br /> LEGAL DESC : MYRTLEWOOD <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) <br /> NOTE: PAVER REPLACEMENT AND MINOR LAND ALTERATION PERMIT <br /> NOTE:PLEASG SUBMIT PHOTOS OF COMPLETED PROJECT. INITIAL:/ .,/� <br /> 1�-- <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> TOTAL 50.00 <br /> LUSARDI&JESSICA BROWN,PHIL Payment(s) <br /> 45 MYRTLEWOOD RD CHECK 3256 50.00 <br /> WAYZATA, MN 55391- <br /> (952)476-2575 <br /> OWNER <br /> LUSARDI&JESSICA BROWN, PHIL <br /> 45 MYRTLEWOOD RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> '1'he 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> " ���-� � �� ��. � Cb <br /> Applicant Permitee Signature Date Issued Signature Date <br />