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CITY OF ORONO <br />2750 KELLEY PARKWAY <br />ORONO, MN 55356- <br />PERMIT NO.: 2009-00891 <br />DA TE ISSUED: 12/11/2009 <br />952 249-4600 FAX: 952 249-4616 <br />ADDRESS <br />PIN <br />LEGALDESC <br />PERMIT TYPE <br />PROPERTY TYPE <br />CONSTRUCTION TYPE <br />NOTE: <br />1535 BOHNS POINT RD <br />08-117-23-44-0023 <br />DIVISION #050376 <br />LOT 001 BLOCK 001 <br />ESCROW FEE -APPLICANT <br />RESIDENTIAL <br />ESCROW FEE -APPLICANT <br />THIS ESCROW IS CONNECTED TO VARIANCE APPLICATION #09-3438 <br />APPLICANT <br />ANNEXSTAD, ALBERT & CATHERINE <br />1535 BOHNS PT RD <br />WAYZATA, MN 55391- <br />OWNER <br />ANNEXSTAD, ALBERT & CATHERINE <br />1535 BOHNS PT 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 />I I <br />Applicant Permitee Signature Date <br />ESCROW FEE -APPLICANT <br />TOTAL <br />SEP ARA TE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />2,500.00 <br />2,500.00