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CITY OF ORONO I 111111 1111-111. II <br /> 2750 KELLEY PARKWAY * 2 0 1 7 - 0 1 2 2 6 <br /> DATE ISSUED: 10/23/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 490 OLD LONG LAKE RD <br /> PIN : 36-118-23-34-0010 <br /> LEGAL DESC : SUMMIT STATION <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HARDCOVER PERMIT(SEE ZONING APPL) <br /> NOTE: LANDSCAPING <br /> APPLICANT <br /> SOUTHVIEW DESIGN TOTAL. <br /> Payments) <br /> 2383 PILOT KNOB RD <br /> MENDOTA HEIGHTS,MN 55120- <br /> (651)203-3000 <br /> OWNER <br /> LITSEY,CAL&CHRISTINE <br /> 490 OLD LONG LAKE RD <br /> WAYZATA,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 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 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 /> �4 �d Z3 �7L FPO 12. _rho L �V <br /> _�. /0 / / i <br /> A.. Permitee Signature Date Issued By1c ature Date <br />