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� . � CITY OF ORONO * z 0 1 2 - 0 0 3 3 1 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 04/27/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2172 SHADYWOOD RD <br /> Pll� : 17-117-23-42-0010 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : ZON[NG PERMIT <br /> PROPERTY TYPE : RES[DENT[AL <br /> CONSTRUCTION TYPE : LAND ALTERATION (0-500 CU YDS) <br /> NOTE: NO ESCROW NEEDED PER CHRIS MATTSON 4/27/2012 <br /> AFTER THE FACT PERMIT-DOUBLE FEE <br /> MINOR LAND ALTGRATION&DRIVEWAY REPLACEMENT <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> SOUTHVIEW DESIGN&CONST MISC FEE 50.00 <br /> 1875 SOTH ST E <br /> INVER GROVE HEIGHTS, MN 55077 TOTAL 100.00 <br /> �) <br /> OWNER <br /> DORE, STEVEN <br /> 6530 CABRIDGE ST <br /> MINNEAPOLIS, MN 55426- <br /> AGREEMENT AND SWORIV STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specificafions,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 /> shali be compied with whether or not specified herein.This permit will <br /> expire and become null and void if cons[ruction 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 /> reques[ed in conformance with the State Building Code.This permit may be '(��� <br /> revoked at any time for due cause. / ' � <br /> i .r �....! / /-`�� � /�.._. <br /> .., �f�� / � !? � 2�j�[-.^ / _ � � (� <br /> /�� � � l (�"YYl C i / ! <br /> Applie�nt Permitee Signature � Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />