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2010-00139-1 inspection is with 00138
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2650 Countryside Drive West - 04-117-23-12-0014
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2010-00139-1 inspection is with 00138
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Last modified
8/22/2023 5:07:09 PM
Creation date
5/2/2016 3:52:58 PM
Metadata
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Template:
x Address Old
House Number
2650
Street Name
Countryside
Street Type
Drive
Street Direction
West
Address
2650 Countryside Dr W
Document Type
Permits/Inspections
PIN
0411723120014
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CITY OF ORONO PERMIT NO.: 2010-00139 <br /> � ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �ssUED: 03/29/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> REPRINTED ON 5/13/2010 <br /> ADDRESS : 2650 COUNTRYSIDE DR W <br /> PII� : 04-117-23-12-0014 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN <br /> : LOT 006 BLOCK 002 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SPORTS COURT< 120 SQ FT <br /> NOTL: OTHER INSPGCTION: AFTI:R SILT FENCE IS INPLACE AND CORNFRS OF SPORT COURT,S[DE AND REAR PROPGRI'Y <br /> LINES AI2E MARKED. <br /> ANY FENCE AROUND SPORT COURT CANNO"1'BE OVER 6'HIGH <br /> APPLICANT <br /> LAND ALTERATION 50.00 <br /> JORGENSON, ROBERT TOTAL 50.00 <br /> 2650 COUNTRYSIDE DR W <br /> LONG LAKE, MN 55356 <br /> OWNER <br /> JORGENSON, ROBERT <br /> 2650 COUNTRYSIDE DR W <br /> LONG LAKE, MN 55356 { <br /> Ci <br /> � <br /> V'� <br /> AGREEMENT AND SWORN STATEMENT {�� <br /> The wark for which this permit is issued shall be performed according to ��.,� <br /> the approved plans and specitications,applicable City approvals,and thc <br /> State 13uilding 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 construclion 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. I� <br /> I he 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. � ( i <br /> V <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />
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