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� �� ' .�.,: CITY OF ORONO � <br /> � 2750 KELLEY PARKWAY * � 0 1 2 - 0 1 2 1 5 * <br /> DATE ISSUED: 07/31/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3070 NORTH SHORE DR <br /> PIN : 09-117-23-32-0020 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1457 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SHED< 120 SQ FT <br /> NOTE: $700 SB COLLECTED IN ESCROW FEE <br /> ACTUAL ESCROW FEE AMOUNT COLLECTED $700.00 <br /> HOW DID THEY PAY? CHECK#3348 &WHO PAID?RALPH SMITH <br /> ESCROW PERMIT#:(DON'T FORGET TO ENTER) 2013-00220 <br /> ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS <br /> / � <br /> *AS-BUILT SURVEY WITH HARDCOVER WILL BE REQUIRED PRIOR TO RELEASE OF ESCROW. � (INITIAL) <br /> APPLICANT STRUCTURE PERMIT 100.00 <br /> SMITH, RALPH& SHELLEY ENGINEERING REVIEW COSTS <br /> 3070 NORTH SHORE DR <br /> WAYZATA, MN 55391- TOTAL 100.00 <br /> OWNER <br /> SMITH, RALPH&SHELLEY <br /> 3070 NORTH SHORE DR <br /> WAYZATA, 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 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 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 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 applican[is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked atany time for due cause. <br /> _ / � ��( ��, �3 ��� � �3 <br /> Applicant Permitee Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />