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CITY OF ORONO PERMIT NO.: 2009-00895 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 12/15/2009 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2180 NORTH SHORE DR <br /> PIN : 10-117-23-31-0098 <br /> LEGAL DESC : MARKVILLE <br /> : LOT 000 BLOCK 003 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : INSTITUTIONAL-SCHOOL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: <br /> THIS ESCROW PAYMENT IS CONNECTED TO ZONING ITEM 10-3442 <br /> APPLICANT ESCROW FEE-APPLICANT 700.00 <br /> HILL SCHOOL OF MINNESOTA,INC. TOTAL 700.00 <br /> 2180 NORTH SHORE DR <br /> WAYZATA,MN 55391 <br /> OWNER <br /> HILL SCHOOL OF MINNESOTA,INC. <br /> 2180 NORTH SHORE DR <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 /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />