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` CITY OF ORONO * Z 0 1 6 - 0 1 2 7 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/iU2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 3262 NORTH SHORE DR <br /> PIN : 08-117-23-41-0008 <br /> LEGAL DESC : UNPLATTED 08 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : TREE REMOVAL WITHIN 0-75'(DON'T USE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75 <br /> APPLICANT TREE REMOVAL 0.00 <br /> JAQUA,DAVID&PATRICIA TOTAL 0.00 <br /> 3262 NORTH SHORE DR <br /> WAYZATA,MN 55391- <br /> OWNER <br /> JAQUA,DAVID&PATRICIA <br /> 3262 NORTH SHORE DR <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORI�i 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � �-e� /D � �i � l � <br /> Applicant Permitee Signature Date Issue Signature Date <br />