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, , CITY OF ORONO * z 0 1 3 — P1 1 P1 3 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/30/2013 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4445 NORTH SHORE DR <br /> PIN : 07-117-23-31-0001 ` <br /> LEGAL DESC : BERGQUISTS ADDN TO SAGA HILL <br /> : LOT 003 BLOCK 000 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) <br /> NOTE: <br /> MISCELLANEOUS FEE IS FOR AFTER-TI�-FACT PERMIT <br /> *PRIOR TO REL SE OF SCROW FUNDS AN AS-BUILT SURVEY AND HARD COVER CALCULATIONS MUST BE SUBMITI'ED AND <br /> APPROVED INITIAL <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> BLANK,KRYSTYNE MISC FEE 50.00 <br /> 12010 RIVERBEND ROAD TOTAL 100.00 <br /> 34984 <br /> OWNER City of Qrarn� <br /> 2750 Ke11Ey Parkway <br /> BLANK,KRYSTYNE ���'� � �6 �'-��9-� <br /> 12010 RIVERBEND ROAD Receipt Na: 3.tK1981Q Oc� 2, 2��13 <br /> , 34984 <br /> K�ystye�e Blank <br /> AGREEMENT AND SWORN STATEMENT Pr�eviaus Balance: .�t! <br /> T'he work for which this permit is issued shall be performed according to �'�`�`�11t5 <br /> the approved plans and specifications,applicable City approvals,and the �fi13-01038 4445 hi Sh01'2 S�J.il�I <br /> State Building Code. This permit is for only the work described and does Ql_��� <br /> not grant permission for additional or related work which requires separate Zrfllflg F'eY`�it <br /> permits. All provisions of laws and ordinances goveming this type of work Fer o1�5 . <br /> shail be compied with whether or not specified herein.This pernut will c013—U1d38 4445 N Sh4i'2 5�1.QQ <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 101—�c�'f1 <br /> suspended for a period of 180 days at any time after work has commenced. ZOTIiPeg F'�Y'Ql$ <br /> The ap icant is responsible for assuring all required inspections are <br /> reques d in conformance with the State Building Code.This permit may be T�]tel: 1�.0�1 <br /> revo at any time for due cause. � <br /> % / / �t:herk Na: 2796 16U.� <br /> pplic ermrtee Signature Date paY��� <br /> Kr tyr�e Blank <br /> SEPARATE PERMITS REQUIRED FOR� Tota�Applied: i(�.� <br />