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� � CITY OF ORONO * Z 0 1 4 - 0 1 0 4 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/24/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2507 KELLY AVE <br /> PIN : 20-117-23-12-0063 <br /> LEGAL DESC : NAVARRE COVE <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) <br /> NOTE: $2,000 SB COLLECTED IN ESCROW FEE <br /> ACTUAL ESCROW FEE AMOUNT COLLECTED $2,000.00 <br /> HOW DID THEY PAY? CHECK #6007&WHO PAID?DAVE FREDRICKSON <br /> ESCROW PERMIT#:(DON'T FORGET TO ENTER) 2014-01050 <br /> ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS <br /> THIS PERMIT FOR LAND ALTERATION&HARDCOVER(DRIVEWAY PERMIT) <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> FREDRICKSON,DAVE&JUDY TOTAL 50.00 <br /> 2507 KELLY AVE Payment(s) <br /> CHECK 6006 50.00 <br /> EXCELSIOR, MN 55331- <br /> OWNER <br /> FREDRICKSON,DAVE&NDY <br /> 2507 KELLY AVE <br /> EXCELSIOR,MN 55331- <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 Ciry approvals,and the <br /> State Building Code. This permit is for onty the work described and does <br /> not grant permission for additional or related work which requires sepazate <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 e fo due cause. <br /> ^ `1a`� 1 �C �� � � <br /> A icant Permitee Signature Date Is ed By Signature Date <br />