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, CYTY O�� OR�NO ,� Z � � 4 - C� 1 3 7� � <br /> , 2750 K.ELC.,FY PARKWAY DATF, tSSUI�D; 03/10/2015 <br /> OROI�tO, IYIN 5�356- <br /> (952) 249-4600 FAX: 952) 249-4616 <br /> Al)llRESS : 4415 FQRES�'LAKE LANDIi��G ' <br /> p[� : 07-117-23-2�-0047 <br /> I.EGAL UE5C : T(�NKAVIEW GARDENS <br /> : [,OT �UO BLOCK 000 <br /> PGI2MIT T1'P1�: ; "LONING PERhiI`I" <br /> PROPER'I'Y"I'YPE ; RESIDENTfAL <br /> CONSTRUCTION TYPE : LAND A];T�;KA`I'ION(0-5�0 CU YDS) <br /> NU'1'P,: 5�.000 COI.I.F•,C�I'FC)1N f:SCRUI�I'rEG -Pll BY CHL-'CK H78$2 E�Y [.ORfF.L[Nl;-PERM(T b2015-t102SS <br /> &SCROW t'LE['OR: I;KOSION CQNTROL�c T:1yGTNl:F•.RWG RP•.Vf���'C_OSTS <br /> NO'('R: AS-f31111;i�SURVEY'1'O f31;SUE3�II1�1�1,D. INCI'I:`1t ���`" �� <br /> ,� <br /> NOI t��.C,)9��?'�����1',1�J1"TI�I OWNER A"1`44rt0 i'OR1;ST(.AKfa LANnING RF•,GAR[�ING'1'T-]F,PkC3JEt"I'��'ORK AN�"I'[MING; IN1I'IAL: <br /> '�--- <br /> AAf'[�ICANT i�tINOR LAt�JC7 nLTGTtA1'[ON 50.00 <br /> � � �, ' ENC,[NEEft1NG REV[EW COS"I�S <br /> [.INE,�'IMOTHY�LOR� ' �.�..�'�-�,,' � ��N Tt)TAL 50.Q0 <br /> 4415 E�ORES"I'LAK ��L�ANDING Payment(s) <br /> MOUND, ;v(?V 5�364 CHEC'K 7882 50.00 <br /> O�VNGR <br /> T.,tNF,,TlMO"I�E[Y& I,(7R1 <br /> 4415 FO[tFST I.,AKF,LANDING <br /> MOUND, IvTN 5536�1 <br /> AGREEMEfVT AtiD SWORN S'T'A'I'CM�NT <br /> I'he��ork for�vhich this permit is issued shall be perfottne�aecordin�to <br /> the appraved plans and sp�cifieations,eppfic�ble City approvals,�nd t8e <br /> 5t�te Duilding Ce�de. 'l�his pemtit is for only the work dcscribed 1nd does <br /> not�rn�it permissinn for adJitional or reiated tivork uhich requires separate <br /> permits. All provisiuns af la�vs and ordinarices governing diis type of«�ork <br /> shall be compied�vith�vhefher or not specificd herein.This permit�vili <br /> expire anJ hecome nuil and void if eunstrucuun authoriied is not <br /> commenced+vithin l80 days of the date of issuance,or if construction is <br /> suspcnded Cor a perioci of 1$U d�ys at any time after w�rk has cummenced. <br /> 'I'he applicant is respansihle for assuring all required inspections are <br /> requested in cc�nformancc with the State F3uilding Coda'fhis permit rnny be <br /> revoked at any time�or eiue c.�usz, <br /> � <br /> , . - - �� � �� \ <br /> �' ��G-_ �L.G�C-��''�,._�—� � � � 0/ +--' <br /> � 1 tc=� _ �`, <br /> ,lpplicant Permitee Sigrtatur� Date � [ssucd � y Si�,natuCe Date <br />