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CITY OF ORONO 1111111111 ! II // 111111 II <br /> 2750 KELLEY PARKWAY * z B 1 4 - 00 9 6 8 <br /> DATE ISSUED: 09/12/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 364 WESTLAKE ST <br /> PIN : 05-117-23-23-0043 <br /> LEGAL DESC : HILLSIDE PARK <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : POOL-IN GROUND <br /> ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS <br /> VALUATION : $ 25,000.00 <br /> NOTE: IN GROUND POOL <br /> NOTE: PRIOR TO RELEASE OF ESCROW MONEY,AN AS-BUILT SURVEY AND HARDCOVER CALCULATIONS MUST BE SUBMITTED <br /> AND APPROVED. INITIAL: (t w` <br /> NOTE: NO GRADING OR HARDCOVER ALLOWED WITHIN 75'OF ORDINARY HIGH WATER LEVEL(OHWL). INITIAL: R ) Ili <br /> APPLICANT PERMIT FEE SCHEDULE 413.00 <br /> VALLEY POOLS STATE SURCHARGE(VALUATION) 12.50 <br /> 301 CLIFF RD TOTAL 425.50 <br /> BURNSVILLE, MN 55337 Payment(s) <br /> (952)894-1480 CHECK 1752 425.50 <br /> OWNER <br /> Identisys, Inc. <br /> SHIELDS TRUSTEES,JANELLE K&MICHAEL R <br /> 7630 COMMERCE WAY <br /> EDEN PRAIRIE,MN 55344- <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 type 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 after 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 time for due cause. <br /> ., ' _ 9 <br /> Applicant Pe itee l.ture Tlate''-- Iss 40 By Signature Date <br />