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• CITY OF ORONO PERMIT NO.: 2009-00347 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/23/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 915 FOREST ARMS LA <br /> PIN : 07-117-23-12-0018 <br /> LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : USER DEFINED <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : RETAINING WALL <br /> ENTER VALUATION 2500 <br /> APPLICANT USER DEFINED PERMIT FEE 88.50 <br /> BELAWSKI&AARON RUSS,JAMIE STATE SURCHARGE USER DEFINED 1.25 <br /> 915 FOREST ARMS LA <br /> MOUND, MN 55364 TOTAL 89J5 <br /> PAID WITH CASH 89.75 <br /> OWNER <br /> BELAWSKI&AARON RUSS,JAMIE <br /> 915 FOREST ARMS LA <br /> MOUND,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved pians 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 no[specitied herein.This permit will <br /> expire and become null and void if construction au[horized is not <br /> commenced within 180 days of[he date of issuance,or if construction is <br /> suspended for a per' f 180 days at any time afrer work has commenced. <br /> The applic t is r spo sible for assuring all required inspections are <br /> reque d in c or ance with the State Building Code.This permit may be <br /> rev ed at a i for due cause. <br /> ` � /�3 � �/ �/ O . <br /> App � Per itee Si ure Date s ed By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />