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CITY OF ORONO * 2 0 1 2 - 0 0 4 7 P1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/19/2012 <br /> � ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 745 SPRING H[LL RD <br /> P1N : 36-118-23-21-0003 <br /> LEGAL DESC : SPRING HILL ESTATES <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERATION (0-500 CU YDS) <br /> NOTF.: $2,000 S/B COLLGCTED IN ESCROW FEE <br /> ACTUAL ESCROW FEE AMOLJNT COLLECTED $2,000.00 CK# 12737-ESCROW YERMIT#2012-00471 <br /> ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIF.,W COSTS <br /> * EXIST[NG TOPSOIL AND TURF TO BE REUSED ONSITE AS INDICATED BY SURVEYOR. (IN['i'IAL) <br /> * NEED TO APPLY FOR MINNEHAHA WA1'ERSHED PERMIT AND SUPPLY CITY WITH A COPY. (INITIAL) <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> PATRICK HANILY&ASSOC INC TOTAL 50.00 <br /> 2660 ORCHARD LANE/PO BOX 784 <br /> B O POST 784 <br /> EXCELSIOR,MN 55331 <br /> (612)443-0191 <br /> Minnesota State License#: 1059 <br /> OWNER <br /> ERICKSON&JAMIE WILSON, DAVE <br /> 745 SPRING HILL RD <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 thc <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission Y'or additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing 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 construc[ion authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> re uested in conformance with the State Building Code.This permit may be <br /> revoke t time for e cause. ��`j <br /> t /� <br /> � / / � ;%'�—� �.�. , 7 - /� <br /> Applicant Permite igna re Date � � `��� ��� e'"I � � f � �� <br /> [ssued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />