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CITY OF ORONO 11 [ Il [ 1h11 1 [ [ [II <br /> • -- ` 275'0 KELLEY PARKWAY * 1 2 — 0 1 2 1 <br /> DATE ISSUED: 08/27/22 013 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 85 OLD CRYSTAL BAY RD S <br /> PIN : 04-117-23-21-0004 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.230 <br /> : LOT 009 BLOCK 000 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERATION (0-500 CU YDS) <br /> NOTE: NO ADDITIONAL ESCROW WAS COLLECTED. THE NEW AGREEMENT COMBINES 2011-01360 AND 2012-01221 <br /> FINAL INSPECTION TO BE COMPLETED AND APPROVED BY ENGINEER PRIOR TO RELEASE OF ESCROW FUNDS. ITLAL) <br /> xi( <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> MILLER, SCOTT&MICHELLE ENGINEERING REVIEW COSTS <br /> 85 OLD CRYSTAL BAY RD S <br /> LONG LAKE,MN 55356- TOTAL 50.00 <br /> • <br /> OWNER <br /> MILLER, SCOTT&MICHELLE <br /> 85 OLD CRYSTAL BAY RD S <br /> LONG LAKE, MN 55356- <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 does <br /> not grant permission for additional or related work which requires separate <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 I required inspections are <br /> requested in conformance with the Stat-t uilding Code.This permit may be <br /> revoked. -• 4 e or due a,.e. <br /> gekt_r/31: fLitm .? <br /> 101/3 <br /> Ap. cant Permitee ignature Date ssu-1:y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE. <br />