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. CITY OF ORONO PERMIT NO.: 2011-00689 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE [ssuEn: 07/20/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3131 CASCO CIR <br /> PIN : 20-117-23-34-0007 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 044 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$700 ESCROW IS TIED TO VARIANCE APPLICATION#11-3521-LAND USE APPLICATION <br /> APPLICANT ESCROW FEE- DEVELOPER 700.00 <br /> HELMER, TAMI <br /> 3131 CASCO CIR TOTAL 700.00 <br /> WAYZATA, MN 55391- <br /> OWIYER <br /> HELMER, TAMI <br /> 3131 CASCO CIR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfomied according to <br /> [he approved plans and specitications,applicable City approvals,and [he <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related�vork which requires separa[e <br /> permits. All provisions of laws and ordinances governing[his type of work <br /> shall be compied wi[h whe[her or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time atter work has commenced. <br /> The applicant is responsible for assuring all required inspec[ions are <br /> reques[ed in confonnance with the State Building Code.This permit may be <br /> revoked a[any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />