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CITY OF ORONO PERMIT NO.: 2010-00452 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/11/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> REPRINTED ON 6/11/2010 <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 : ESCROW FEE-WETLAND <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS t ,\P <br /> CONSTRUCTION TYPE : ESCROW FEE-WETLAND 1 <br /> NOTE: THIS ESCROW PAYMENT OF$700.00 WAS PAID ON 01/27/2010 FOR WETLAND LAND ALTERATION-ZONING#10-3447. <br /> ENTERED INTO PERMIT WORKS ON 6/11/2010. <br /> APPLICANT ESCROW FEE-WETLAND 700.00 <br /> Wayzata Country Club TOTAL 700.00 <br /> 200 WAYZATA BLVD W <br /> WAYZATA,MN 55391- <br /> OWNER <br /> Wayzata Country Club <br /> 200 WAYZATA BLVD W <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 /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />