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CITY OF ORONO 11.11111. 111 11 ILII 1111.1111 <br /> * 2 0 1 6 - 00 7 4 4 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/15/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2 ORONO ORCHARD RD N <br /> PIN : 3 118-23-33-0004 <br /> LEGAL DESC PLATTED 35 118 23 <br /> : L o T 000 BLOCK 000 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : ' ' SIDENTIAL <br /> CONSTRUCTION TYPE : L ND ALTERATION(0-500 CU YDS) <br /> NOTE: LAND ALTERATION-IMPOTING 314 CUBIC YARDS OF FILL % <br /> PRIOR TO RELEASE OF ESCROW M?NEY AN AS-BUILT SURVEY MUST BE SUBMITTED AND APPROVED. INITIAL: /110 <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> TOTAL 50.00 <br /> BENEDICT,MICHAEL&DEBORAH Payment(s) <br /> 25 ORONO ORCHARD RD N CHECK 11886 50.00 <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> BENEDICT,MICHAEL&DEBORAH <br /> 25 ORONO ORCHARD RD N <br /> LONG LAKE,MN 55356- <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 confo s.• ce with the State Building Code.This permit may be <br /> revoked at an e fo'due cau . <br /> '7//5/2,7/2 <br /> Applicant Permitee Signature Dat Issued Vignature Date <br />