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CITY OF ORONO PERMIT NO.: 2009-00051 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 02/13/2009 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 200 WAYZATA BLVD W <br /> PIN : 36-118-23-43-0001 <br /> LEGAL DESC : UNPLATTED 36 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : USER DEFINED <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : LAND ALTERATION(501+CU YDS) <br /> NOTE: MUST HAVE MCWD PERMIT BEFORE ISSUING THIS PERMIT,CHECK WITH EVELYN. <br /> APPLICANT LAND ALTERATION 50.00 <br /> DOBOSZENSKI& SONS,INC. TOTAL 50.00 <br /> 6450 PIONEER TRAIL <br /> LORETTO,MN 55357 <br /> (763)420-6945 <br /> OWNER <br /> CLUB,WAYZATA COUNTRY <br /> 200 WAYZATA BLVD W <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 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 goveming 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 constructio authorized is not <br /> commenced within 180 days of the d e o iss ce,or if construction is <br /> suspended for a period of 180 days,t ti a after work has commenced. <br /> The applicant is Kesp. : ,l- fir.,sur' g required inspections are <br /> requestedim coi fo r IT• ' i e ate uilding Code.This permit may be <br /> revoked;at iy tim: s • .use. <br /> i i )-fit <br /> Applicant P- a Signature Date Issued y SignatureC Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />