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� y <br /> CITY OF ORONO * Z 0 1 4 - 0 PJ 4 8 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/20/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 300 SIXTH AVE N <br /> PIN : 25-118-23-41-0001 <br /> LEGAL DESC : UNPLATTED 25 1 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : TREE REMOVAL WITHIN 0-75' <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75 <br /> NOTE: TREE REMOVAL WITHIN TH�75'ZONE <br /> APPLICANT TREE REMOVAL 0.00 <br /> TOTAL 0.00 <br /> DAYTON, DOUGLAS <br /> 300 SIXTH AVE N <br /> WAYZATA, MN 55391- <br /> OWNER <br /> DAYTON, DOUGLAS <br /> 300 SIXTH AVE N <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work Yor 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 /> not grant permission for additional or related work which requires separatc <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whe[her or no[specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of[he date of issuance,or if construction is <br /> suspended for a period of 180 days a[any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections arc <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> /�v // <br /> Applicant Permitee Signature Date Issued Signature Date <br />