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. ' CITY OF ORONO * z 0 1 4 - 0 0 8 1 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/12/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3286 NAVARRE LA <br /> PIN : 17-117-23-44-0109 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) <br /> NOTE: $2,000 SB COLLECTED IN ESCROW FEE <br /> ACTUAL ESCROW FEE AMOUNT COLLECTED $2,000.00 <br /> HOW DID THEY PAY? CHECK#3502 PAID BY GRACE DAHL <br /> ESCROW PERMIT#:2014-00871 <br /> ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> ENGINEERING REVIEW COSTS <br /> BOLLIG&SONS, INC. TOTAL 50.00 <br /> 11401 COLJNTY ROAD 3 <br /> HOPKINS,MN Payment(s) <br /> (612)938-4433 CHECK 3502 50.00 <br /> OWNER <br /> DAHL,GRACE MARIE <br /> 3286 NAVARRE LA <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 Ciry approvals,and the <br /> State Building Code. This permit is for onty the work described and does <br /> not grant permission for additional or related work which requires sepazate <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 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 afrer 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 /> - S-l2-201q- �` //�. i/ <br /> p icant rmite ignature Date Issu By Signature Date <br />