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.$ t CITY OF ORONO 11111110111111111111111111111111111111111111111 <br /> * 20 1 2 - 00906 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/17/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 875 WAYZATA BLVD W <br /> PIN : 35-118-23-44-0011 <br /> LEGAL DESC : UNPLATTED 35 118 23 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) <br /> NOTE: $2,000 S/B COLLECTED IN ESCROW FEE <br /> ACTUAL ESCROW FEE AMOUNT COLLECTED $2,000 <br /> ESCROW PERMIT#: 2012-00907 <br /> ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> KRAUS ANDERSON CONSTRUCTION CO ENGINEERING REVIEW COSTS <br /> 525 S.EIGHTH STREET <br /> MINNEAPOLIS,MN 55404- TOTAL 50.00 <br /> (612)332-7281 <br /> OWNER <br /> KA Reality <br /> 4210 W. SHAKOPEE RD <br /> BLOOMINGTON,MN 55437- <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 fo due cause. <br /> 9/ / 7 // a-- 5// 7 /!6,2 <br /> Applicant Permitee Signature Date Issue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />