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, CITY OF ORONO * z 0 1 4 - 0 1 1 1 6 * <br /> 2750 KELLEY PARKWAY nATE �ssu�n: t2/08/2014 <br /> � ORONO, MN 553_56- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRI:SS : 805 FOREST ARMS LA <br /> PIN : 07-117-23-12-0009 <br /> LEGAL DESC : FOREST ARMS <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CO�YSTRUCTION TYPE . RETAINING WALL>4 FEET <br /> < <- +�v,+�.� <�`' ��l�-►{) <br /> VALUATION : $ 7,500.00 <br /> NOTE: BOUI,DLR RETAINING WALL <br /> NOTE: PRIQR TO RELEASG OF ESGROW MONI�Y AN AS-BUIL"C SURVEY MUST BE SUI3MITTED AND APPROVED. <br /> INI"CIAL: 1 ,�� <br /> + , ---� <br /> 1 �---. <br /> APPLICANT PERMIT FF.E SCHEDULE 162.25 <br /> STATE SURCHARGE(VALUATION) 3.75 <br /> BUTTERFIELD LANDSCAPE COMPANY TOTAL 166.00 <br /> 3925 WATERTOWN ROAD <br /> MAPLE PLAIN, MN 55359- Payment(s) <br /> CHECK 13977 166.00 <br /> OWNER <br /> FELDMANN,JOSEPH & DONELLE <br /> 805 FORLST ARMS LA <br /> MOUND, MN 5�364- <br /> AGREEMEIYT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be periormed according to <br /> the approvcd plans and spccitications,�pplicablc Cit��approvals,and thc <br /> State Buildine Code. "�his permit is fbr only the wurk dcscribed and does <br /> not grant permission tur additional or related work which requires separate <br /> permits. All provisions of la�cs and ordinances governing this type of work <br /> shall be compied with�vhether or not specified herein.'fhis permit will <br /> expirc and become null and void if construction aiithorized is not <br /> commenced within 180 days of dic date of issuance,or ifconstruction is <br /> suspended f'or a period oY'1�0 days at any time aCter work has commenced. <br /> The applicant is responsiblelfor assuring all required inspections arc <br /> req��ested in conformance w�[h the State Building Code.This permit may be <br /> revoked at any�ti�ic for due��ause. <br /> I�� `�� a � � . <br /> � � ,��,� � __ , d�. � /,z, �' ,/ <br /> A p icant Permi e Signatu e Date � Issue By Signature Date <br />