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. <br /> � CITY OF ORONO * 2 0 1 3 - 0 1 3 0 2 * <br /> " 2750 KELLEY PARKWAY DATE ISSUED: 12/19/2013 <br /> ' ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1910 SHORELINE DR <br /> PIN : 10-117-23-42-0017 <br /> LEGAL DESC : REG. LAND SURVEY NO.0096 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75 <br /> APPLICANT <br /> &H MOUSAVINASAB, MAJID FEHRESTI TOTAL <br /> 1910 SHORELINE DR Payment(s) <br /> WAYZATA,MN 55391- <br /> OWNER <br /> &H MOUSAVINASAB, MAJID FEHRESTI <br /> 1910 SHORELINE DR <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 oniy the work described and does <br /> not grant pertnission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming 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 authotized 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 aze <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 />