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- CITY OF ORONO PERMIT NO.: 2010-00556 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 07/30/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1435 PARK DR PIN : 07-117-23-42-0020 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK O15 PERMIT TYPE : USER DEFINED PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : STAIRWAY TO LAKE NOTE: THIS PERMIT INCLUDES STAIRWAY TO THE LAKE AND LAND ALTERATION OF 0-500 CUBIC YARDS FOR PLAY AREA. ENTER VALUATION 12400 STATE SURCHARGE 12400 APPLICANT USER DEFINED PERMIT FEE 236.00 OUTDOOR EXCAPES, INC. STATE SURCHARGE USER DEFINED 6.20 2345 DANIELS STREET LONG LAKE,MN 55356- MINOR LAND ALTERATION 50.00 (952)926-6899 TOTAL 292.20 Minnesota State License#: 20630819 OWNER CAMERON, JENNIFER& DAVID 1435 PARK DR MOi1ND,MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not gran[permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This perrrtit wili expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be rev ed at any time for due cause. .''�L-�� ,' `� .=�- T / 3 ii / % � �� Applicant Per �tee Signa Date Is e By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRiBED ABOVE.