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, <br /> CITY OF ORONO * z 0 1 3 - 0 0 4 5 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/10/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2640 NORTH SHORE DR <br /> PIN : 09-117-23-13-0009 <br /> LEGAL DESC : COLWELL ADDN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERAT[ON (0-500 CU YDS) <br /> NOTE: <br /> ACTUAL ESCROW FEE AMOUNT COLLECTED $2500 <br /> HOW DID THEY PAY? CHECK 16951& PAID BY I IOMh:OWNER <br /> ESCROW PERMIT#:(DON'"I�FORGET TO ENTER) 2012-00446 <br /> ESCROW FEE POR: GROSION CONTROL&ENGINEERING REVIGW COS"I'S <br /> *AS BUILT SURVEY TO BE SUBMITTED AND APYROVED PRIOR TO RELEASE OF F'.SCRO . (INI"1'IAL) <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> HODDER, KENT H&JUDITH B MISC FEE 50.00 <br /> 2640 NORTH SHORE DR <br /> MN 55391- TOTAL 100.00 <br /> OWNER <br /> HODDER, KENT H&JUD[TH B <br /> 2640 NORTH SHORE DR <br /> , MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State E3uilding 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 governing this type of work <br /> shall be compied with whether or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is no[ <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 r onsible for ssurin II required inspections are <br /> requested in for an- w[ the St uilding Code.This permit may be <br /> revo y ti use. <br /> � � � �j �,' io� i3 <br /> p icant Permitee Si nature Date Issu [3y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />