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CITY OF ORONO PERMIT NO.: 2011-00445 <br /> . 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �ss[1En: 06/09/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3382 BAYSIDE RD <br /> PIN : OS-117-23-14-0069 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BU[LD[NG PERMIT <br /> NOTG: TIGD TO BUILDING YEKMIT#2010-00733, FOR TEMPORARY CERTIFICATE OF OCCUPANCY <br /> APPLICANT ESCROW FEE-BUILDING 10,000.00 <br /> CHARLES CUDD LLC <br /> TOTAL 10,000.00 <br /> 15050 23RD AVENUE N <br /> PLYMOUTH, MN 55447- <br /> �) <br /> Minnesota State License#: 20635245 <br /> OWNER <br /> HUTHWAITE, MICHAEL&MARILYN <br /> 7155 AINSWORTH DR <br /> GERMANTOWN, TN 38138- <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 ofwork <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. ��Q <br /> j � -_�� <br /> / / �c�-c ( ���'1 C�i' C�4� —�� <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />