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. , CITY OF ORONO * z 0 1 z - 0 1 z 1 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/3U2013 <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< l20 SQ FT <br /> NOTC: $700 S/F3 COLLGC"I'F,D IN ESCROW FEE <br /> ACTUAL ESCROW FEE AMOUNT COLLECTED $700.00 <br /> HOW DID��HGY PAY? CHECK#3348 &WHO PAID?RALPH SMI"I'H <br /> ESCROW PERMIT#:(DON'T FORGET TO ENTER) 2013-00220 i <br /> ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS ,��� <br /> ,,�„ <br /> ,;� <br /> * AS-BUIL"I'SURVEY WI"I'H HARDCOVER WILL BF.REQUIRED PRIOR TO RELEASE OF ESCROW.�';` (INITIAI,) <br /> �• t�::.� '`.,� �la.. „c� <br /> '�T+C��'.� �,.r3`� �fi:'��,,' <br /> 'r'J1�wUc . <br /> -''�"9!D�5 <br /> � ,!,�M•����e� 7i:�-,��,i r <br /> ,c Ulc. . . <br /> {_,S�t', <br /> ,�in4 ��:, <br /> ;ia1, <br /> �-----�--�_:�._ <br /> APPLICANT '� - <br /> SMITH, RALPH & SHELLEY ='��'�'�' � � 100.00 <br /> ,�.. <br /> 3070 NORTH SHORE DR �� :� <br /> WAYZATA, MN 55391- � 100.00 <br /> OWNER <br /> SMITH, RALPH& SHELLEY <br /> 3070 NORTH SHORE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> l�he work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approv�ls,and the <br /> State Building Code. This permit is tbr only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> pem�its. All provisions of Iaws and ordinances goveming this type of work <br /> shall be compied with whcther or not specitied 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 atter�vork has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformai�ce with the State Building Code.This pennit may be <br /> revoked at any time for due c�use. J <br /> �l � ,��� �.a( ��� �3 - �G� l�v� � /3 <br /> Applicant Permitee Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />