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' ' ' CITY OF ORO O I*1121111ID 1 3 - 0 0 9 0 7 �k <br /> 2750 KELLEY PARK AY DATE 1SSUED: 09/04/2013 <br /> ORONO, MN 553_6- <br /> (952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 4185 BAYSIDE RD <br /> PIN : 06-117-23-14-0012 <br /> LEGAL DESC : NORTH ARM ESTATES 3RD ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PER IT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PER IT <br /> NOTE: TIED TO BUILDING PERMIT 2013-00557 <br /> APPLICANT ESCROW EE-BUILDING 700.00 <br /> REZABEK, ALLAN & SHIRLEY <br /> 4185 BAYSIDE RD TOTAL 700.00 <br /> MAPLE PLAIN, MN 55359- <br /> OWNER <br /> REZABEK, ALLAN& SHIRLEY <br /> 4185 BAYSIDE RD <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> S[ate 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 goveming 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 /> / / / / <br /> Applicant Permitee Signature Date Issue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE. <br />