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CITY OF ORONO PERMIT NO.: 2oio-o�o�o <br /> � 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/15/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3960 SIXTH AVE N <br /> PIN : 29-118-23-33-0009 <br /> LEGAL DESC : iJNPLATTED 29 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: ESCROW PAYMENT OF$2500.00 WAS PAID BY CHECK#034685-XCEL ENERGY-FOR LAND USE PERMIT 10-3468 <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> CO,NORTHERN STATES POWER TOTAL 2,500.00 <br /> 3960 SIXTH AVE N <br /> LONG LAKE,MN 55356 <br /> OWNER <br /> CO,NORTHERN STATES POWER <br /> 3960 SIXTH AVE N <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 sepazate <br /> permiu. 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 arid become null and void if conswction 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 /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />