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CITY OF ORONO PERMIT NO.: 2010-01206 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 01/14/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 85 OLD CRYSTAL BAY RD S <br /> PIN : 04-117-23-21-0004 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.230 <br /> : LOT 009 BLOCK 000 <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(WAIVED PER MELANIE-AFTER THE FACT) <br /> APPLICANT MINOR LAND ALTERATION 50.00 <br /> MILLER, SCOTT&MICHELLE ENGINEERING REVIEW COSTS <br /> 85 OLD CRYSTAL BAY RD S <br /> LONG LAKE,MN 55356 TOTAL 50.00 <br /> PAID WITH CC# 7460 <br /> OWNER <br /> MILLER, SCOTT&MICHELLE <br /> 85 OLD CRYSTAL BAY RD S <br /> LONG LAKE, MN 55356 <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. 6((41-Zd 116/ <br /> 12, 11 <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />