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, . �� • <br /> CITY OF ORONO PERMIT NO.: 2011-00260 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 04/29/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1473 BAY RIDGE RD <br /> PIN : ]0-117-23-34-0005 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0192 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: ESCROW PAYMENT FOR VARIANCE APPLICATION 1 1-350� <br /> APPLICANT ESCROW FEE-APPLICANT 700.00 <br /> MCCUNE, THOMAS TOTAL 700.00 <br /> 1473 BAY RIDGE RD <br /> , WAYZATA, MN 55391- <br /> 31. : ' <br /> ''�4 � •�` <br /> �'C�I�1� �:-.� <br /> OWNER ,_ +�� <br /> � MCCUNE, THOMAS <br /> 1473 BAY RIDGE RD �'�,g ,. <br /> WAYZATA, MN 55391- '-�.:r,� 14JJ �ti«a� , <br /> �`,�-34'+�G <br /> ��_�,�i Use-Var•��:nc�--I►��, <br /> AGREEMENT AND SWORN STATEMENT <br /> '.�+at: <br /> �� Thc work for�chich this permit is issued shall be performcd according to � �.._____ <br /> thc approvcd plans and spccitications,applicable City approvals,and the �_;����;. � <br /> State Building Code. This pennit is for only the�vork described and does ::i1Lt'k 1�0: :�8� ji!� <br /> not grant permission for additional or related work which requires separate �ay�,�p � <br /> permits. All provisions of laws and ordinances governing this type of work '�C�3S �;�{�pE, <br /> shall be compied with whether or not specified herein.This permit will T'vf8! �G�)i'�d; 7Q'� <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 widi the State[�uilding Codc.This pennit may be <br /> revoked at any time for due cause. <br /> L_._. / / <br /> / / <br /> �. Applicant Permitee Signature Da�e Issued By Signature llate <br /> , SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />