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CITY OF ORONO PERMIT NO.: 2011-00342 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 05/16/2011 <br /> 952 249-4600 FAX: 952 ;49-4616 <br /> ADDRESS 4725 NORTH SHORE DR <br /> PIN 07-117-23-32-0066 <br /> LEGAL DESC BERGQUIST&WICKLUNDS PARK <br /> LOT MB BLOCK MB <br /> PERMIT TYPE ZONING PERMIT <br /> j' PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) <br /> i <br /> ROE <br /> I ,o <br /> APPLICANT MINOR LAND ALTERATION 30.00 <br /> 4725 NORTH SHORE DRIVE,JOHN F ENGINEERING REVIEW COSTS <br /> 4725 NO <br /> WAYZATA,MN 55391— <br /> TOTAL 30.00 <br /> OWNER <br /> ROEDEL,JOHN F <br /> 4725 NORTH SHORE DRIVE <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 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 /> Applicant Permitee kignature Date —Issuo By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />