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CITY OF ORONO 1�!11 1 1 11111111113 11111 111111111111 <br /> 2750 KELLEY PARKWAY * 2 1 2 - 0 0 9 7 <br /> DATE ISSUED: 09/11/22 012 <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 : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: TIED TO ZONING PERMIT 2012-00906 <br /> APPLICANT ESCROW FEE-APPLICANT 2,000.00 <br /> KA Reality ESCROW FEE-DEVELOPER 0.00 <br /> 4210 W. SHAKOPEE RD <br /> BLOOMINGTON,MN 55437- TOTAL 2,000.00 <br /> (952)881-8166 <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 for due cause. <br /> Applicant Permitce Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />