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CITY OF ORONO PERMIT NO.: 2oos-oo329 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- �ATE �ssUEu: 10/27/2008 <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3409 EASTLAKE ST <br /> PIN : OS-117-23-13-0036 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT 000 BLOCK 008 <br /> PERMIT TYPE : USER DEFINED <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERATION (0-500 CU YDS) <br /> NOTE: LAND ALTERA7'ION-0-500 CUBIC YARDS <br /> DIG FOUNDATION/SEAL AND REFILL <br /> APPLICANT LAND ALTERATION 50.00 <br /> WIZARD SERVICE <br /> 318 XERXES AVE N TOTAL 50.00 <br /> MINNEAPOL[S, MN 55405- PAID WITH CASH 50.00 <br /> (612)377-3909 <br /> Minnesota State License#: 20230902 <br /> OWNER <br /> SCHULTZ, MR. &MRS. ANDREW <br /> 3409 EASTLAKE ST <br /> LONG LAKE, MN 55356 <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 /> no[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 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 reyuired inspections are <br /> requested in confor�nanc�wik(i the State Buk4�ng Code.This permit may be <br /> `� revoketl at any tirrie for,due cause. �� �� <br /> l <br /> �,�r �c-�. �T,-l�2,�._ _. �� / ��/ �� ��.- i�� L C C�7�F /�j � � Z�� <br /> / / <br /> �A�pplicant Permi�'ee ignature Date [ssued I�y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />