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� , CITY OF ORONO * z 0 1 z - 0 0 7 3 7 * <br /> 2750 KELLEY PARKWAY llATE ISSUED: 08/02/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3205 GRAHAM HILL RD <br /> PIN : OS-117-23-14-0065 <br /> LEGAL DESC : GRAHAM HILL PRESERVE <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : LAND ALTERATION(501+CU YDS) <br /> NOTE: $AMOUN"I'TO BE DE"CERMINED{3Y CUP-SB COLLECTED[N ESCROW FEE <br /> ACTUAL ESCROW FEE AMOUNT COLLECTGD $700.00-LAND USE APPLICATION 12-3560 <br /> HOW DID THEY PAY? CHECK#i 1306 <br /> ESCKOW PERM[T#:(DON'T FORGGT TO ENTER) 2012-00463 <br /> ESCI20W FEE FOR EROSION CONTROL&ENGINEERING RF,VIEW COSTS <br /> APPLICANT MAJOR LAND ALTERAT[ON 100.00 <br /> KISSNER, MATT&NEENA TOTAL 100.00 <br /> 505 S IOTH STREET <br /> MINNEAPOLIS, MN 55404- <br /> OWNER <br /> KISSNER, MATT&NEENA <br /> 505 S l OTH STREET <br /> MINNEAPOLIS, MN 55404- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> thc approvcd plans and specifications,applicablc City approvals,and the <br /> State Building Code. This permit is for only Yhe 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 rype of work <br /> shall be compied with whether or no[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 Tor assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at time for du c. <br /> . l . � ��2 �2��� �� �_ �, Z, � � <br /> 'Applicant Permrtee Signature Date Issue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />