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. CITY OF ORONO I 411 1 11 WI 11 11 1111111 <br /> 2750 KELLEY PARKWAY * 2 1 2 - 0 0 8 5 <br /> DATE ISSUED: 09/10/22 012 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 505 OLD CRYSTAL BAY RD S <br /> PIN : 104-117-23-31-0003 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.230 <br /> : LOT 022 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-WETLAND <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-WETLAND <br /> NOTE: WETLAND BUFFER ESTABLISHMENT 2011-01295 <br /> APPLIC ►NT ESCROW FEE-WETLAND 2,000.00 <br /> HARMANN, DAVID&MONAi TOTAL 2,000.00 <br /> 505 OLD CRYSTAL BAY RD$ <br /> LONG LAKE, MN 55356- <br /> OWNER <br /> HARMANN, DAVID&MONi <br /> 505 OLD CRYSTAL BAY RD$ <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SVORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications, pplicable City approvals,and the <br /> State Building Code. This permit is fo only the work described and does <br /> not grant permission for additional or r lated work which requires separate <br /> permits. All provisions of laws and or inances governing this type of work <br /> shall be compied with whether or not s ecified herein.This permit will <br /> expire and become null and void if con truction 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 /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />