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, CITY OF ORONO * Z 0 1 6 - PJ 0 1 5 5 * <br /> ° 2750 KELLEY PARKWAY DATE ISSUED: 07/20/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1025 SPRING HILL RD <br /> PIN : 26-118-23-43-0005 <br /> LEGAL DESC : LJNPLATTED 26 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : POOL-IN GROUND <br /> ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS <br /> VALUATION : $ 29,151.00 <br /> NOTE: PRIOR TO RELEASE OF ESCROW MONEY AS AS-BUILT SURVEY AND HARDCOVER CALCULATIONS MUST BE SUBMITTED <br /> AND APPROV�P I <br /> [NITIAL: /�/f'- <br /> NOTE: POOL 18 X 42 MUST MEET LAKE SETBACKS AS SHOWN BUT CAN BE EXTENDED 2 FEET TOWARD ROAD(CHANGE IN <br /> SURVEY)� <br /> INITIAL: <br /> �/� - <br /> NOTE: SEPTIC SYSTEM MUST BE INSTALLED AND APPROVED PRIOR TO ESCROW RELEASE. INITIAL: �!�'Y � <br /> APPLICANT PERMIT FEE SCHEDULE 490.12 <br /> PLAN REVIEW 36.69 <br /> PRESTIGE POOLS STATE SURCHARGE(VALUATION) 14.58 <br /> 87 COUNTY ROAD C WEST <br /> ST. PAUL,MN 55117- TOTAL 541.39 <br /> Payment(s) <br /> CHECK 17800 541.39 <br /> OWNER <br /> BOWLSBY,JOHN&CYNDY <br /> 1025 SPRING HILL ROAD <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 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 governing this rype of work <br /> shall be compied with whether or not specified 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 afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any tim��for due c use. � �7 <br /> � � ���-;,�` .. '�'� �����.��� �� <br /> ,. <br /> �"` 7 G�> , ,�> � --7, z �� l <br /> Applicant Permitee Signat Date Issued By Signature Date <br />