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M - � CITY OF ORONO <br /> * 2P113 - 00638 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/15/2013 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 300 STUBBS BAY RD N <br /> PIN : 32-118-23-42-0005 <br /> LEGAL DESC : TAMARAK HILL <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERATION(501+CU YDS) <br /> NOTE: $AMOUNT TO BE DETERMINED BY CUP-SB COLLECTED IN ESCROW FEE <br /> ACTUAL ESCROW FEE AMOUNT COLLECTED $2500.00 <br /> HOW DID THEY PAY? CHECK &WHO PAID?SUSAN FLEMING <br /> ESCROW PERMIT#:(DON'T FORGET TO ENTER) 2013-00798 <br /> ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS <br /> **APPLICANT MUST INITIAL THEY HAVE READ CITY ENGINEERS COMMENTS DATED 7/3 U2013.S� (INITIAL) <br /> APPLICANT MAJOR LAND ALTERATION 50.00 <br /> LIFESTYLE CREATIONS INC ENGINEERING REVIEW COSTS <br /> 5123 WESTMILL ROAD <br /> MINNETONKA,MN 55345- TOTAL 50.00 <br /> (612)508-9034 <br /> Minnesota State License#: BC634310 <br /> OWNER <br /> FLEMING,THOMAS&SUSAN <br /> 300 STUBBS BAY 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 goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become nuli and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if consVuction 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 /> `�� �v��'L1/�bl U � �J�l 2Q(� �l l l <br /> Applicant Permitee Signature Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />