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t <br /> , CITY OF ORONO * z 0 1 2 — 0 0 6 5 1 * <br /> 2750 KELLEY PARKWAY DATE 1SSUED: 07/18/2012 <br /> ORONO, MN 55356- <br /> ' (952) 249-4600 FAX: (952) 249-4616 <br /> AL�DRESS : 1265 SHORELINE DR <br /> PIN : 02-117-23-34-0010 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1 123 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) <br /> NOTE: $2,000 S/B COLLECTED IN ESCROW FEE <br /> ACTUAL ESCROW FEE AMOUNT COLLECTED $2,000.00 <br /> HOW DID THEY PAY? CK#2612&WHO PAID? OWNER ROGER MCCABE <br /> ESCROW PERMIT#:(DON'T FORGET TO ENTER) 2012-00684 <br /> ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS <br /> THIS PGRMIT IS FOR LAND ALTERATION&DRIVEWAY REPLACEMENT <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> SOUTHV[EW DESIGN& CONST DRIVEWAY 0.00 <br /> 1875 SOTH ST E <br /> INVER GROVE HEIGHTS, MN 55077 TOTAL 50.00 <br /> (763)226-9705 PAID WITH CC# 0401 <br /> OWNER <br /> MCCABE, ROGER <br /> 1265 SHORELINE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> "I�he 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 specitied herein.This permit will <br /> expire and become null and void if construction 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 applican[is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> rev ke t any time for due cause. � �'� <br /> / <br /> '� i i�-v�2- �� ~ /�--C---� L��Y�c c<rt i i 7 --/�— <br /> pplicant Pe +�ee Signature Date Issued By Signature Date � <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />