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i . <br /> CITY OF ORONO * 2 0 1 5 - 0 0 7 7 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 0C�18/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 405 NORTH ARM DR <br /> PIN : 06-117-23-32-0003 <br /> LEGAL DESC : UNPLATTED 06 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERATION(501+CU YDS) <br /> NOTE: $AMOUNT TO BE DETERMINED BY CUP-SB COLLECTED IN ESCROW FEE <br /> ACTUAL ESCROW FEE AMOUNT COLLECTED $20,000.00 PAID CK#238528 BY SOURCE LAND <br /> ESCROW PERMIT#:2015-0770 ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS <br /> NOTE: PERIMETER EROSION CONTROL MUST BE INSTALLED BY THE CONTRACTOR AND INSPECTED BY THE CITY PRIOR TO <br /> ANY LAND DISTURBANCE. CONTRACTOR MUST PROVIDE MINIMUM 24 HOUR NOTICE PRIOR TO WORK. <br /> NOTE: PROTECTION FENCING MUST BE INSTALLED AROUND BIORETENTION AREAS PRIOR TO LAND DISTURBANCE. <br /> APPLICANT MAJOR LAND ALTERATION 50.00 <br /> ENGINEERING REVIEW COSTS <br /> NYEN COMPANIES LLC TOTAL 50.00 <br /> 3480 COiJNTY RD 21 Payment(s) <br /> MAYER,MN 55360- CHECK 10134 50.00 <br /> (952)955-2955 <br /> OWNER <br /> Source Land Capital <br /> 18215 45TH AVE N, STE D <br /> PLYMOUTH,MN 55446- <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 dces <br /> not grant permission for additional or related work which requires sepazate <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 conswction authorized is not <br /> commenced within 1 SO 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 any time for due cause. <br /> C � / O / /� <br /> Applicant Permitee Signature Date Is ue y Signature Date <br />