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111111111111111 IN 111111111111111 M <br /> CITY OF ORONO * 2017 - 01007 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/23/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 2665 CASCO POINT RD <br /> PIN 20-117-23-23-0021 <br /> LEGAL DESC SPRING PARK <br /> LOT 136 BLOCK 000 <br /> PERMIT TYPE ESCROW FEE-APPLICANT <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ESCROW FEE-APPLICANT <br /> NOTE: THIS$2500 ESCROW IS TIED TO ZONING PERMIT APPLICATION 17-3965-PAID BY LYNN GUTHERMUTH-CHECK#3161 <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> GUTERMUTH,DAVID&LYNN TOTAL 2,500.00 <br /> 2665 CASCO POINT RD Payment(s) <br /> CHECK 3161 2,500.00 <br /> WAYZATA,MN 55391- <br /> OWNER <br /> GUTERMUTH,DAVID&LYNN <br /> 2665 CASCO POINT RD <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 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 Permitee Signature Date Issued By Signature Date <br />