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CITY OF ORONO * z 0 1 6 — 0 1 1 s 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U10/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1225 DICKENSON ST <br /> PIN : 02-117-23-31-0048 <br /> LEGAL DESC : MINNETONKA BLUFFS <br /> : LOT 000 BLOCK 016 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : RETAINING WALL>4 FEET <br /> VALUATION : $ 30,000.00 <br /> NOTE: BOULDER RETAINING WALL>4' <br /> NOTE: PR(OR TO RELEASE OF ESCROW MONEY AN AS-BUILT SURVEY MUST I3E SUBMITTF?D AND APPROVED. INITIAL: <br /> APPLICANT PERMIT FEE SCHEDULE 490.12 <br /> STATE SURCHARGE(VALUATION) 15.00 <br /> BOULDER IMAGES <br /> 1225 D[CKENSON TOTAL 505.12 <br /> WAYZATA, MN 55391- 1'ayment(s) <br /> (651)322-7499 CHECK 10662 505.l2 <br /> OWNER <br /> GIEL, TOM&SARAH <br /> 1225 DICKENSON STREET <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for tifiich this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State[3uilding Code. This permit is for only the work described and does <br /> not grant pennission for additional or related work which requires separate <br /> pennits. 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 wnstruction authorized is not <br /> commenced within I RO days of the date of issuance,or if construction is <br /> suspendcd 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 Quilding Code.This permit may be <br /> revoked at any time for due cause. <br /> � / � 7i� � �_ /� l /v � /� <br /> 'cant rmitee Signawre Date Issued B ignature Date <br />