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CITY OF ORONO * 2 0 1 z - 0 m 8 z 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/22/2012 <br /> . ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2865 NORTH SHORE DR <br /> PIN : 09-117-23-24-0001 <br /> LEGAL DESC : UNPLATTED 09 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : TREE REMOVAL WITH[N 0-75' <br /> PROPERTY TYPE : OTHER <br /> CONSTRUCTION TYPE : TREE REMOVAL W[THiN 0-75 <br /> APPLICANT TREE REMOVAL 0.00 <br /> Three Rivers Park District <br /> 3000 XENIUM LA N TOTAL 0.00 <br /> PLYMOUTH, MN 55441- <br /> OWNER <br /> Three Rivers Park District <br /> 3000 XENIUM LA N <br /> PLYMOUTH, MN 55441- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issucd shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Codc. This permit is for only the work described and does <br /> not grant permission for additional or rela[ed work which requires separate <br /> permits. Atl provisions oY 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 I AO 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 /> ked at a ime for due c se. ^ �� <br /> C.��11M 1� �/�.'Z / Z.O�Z � <br /> Appli ant Permitee Signature Date ' � � �� � C�� � `�� �` <br /> Issued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />