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� � <br /> CITY OF ORONO * 2 0 1 2 - 0 0 8 7 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/04/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3165 CASCO CIR <br /> PIIY : 20-117-23-43-0026 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 036 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-OTHER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-OTHER <br /> NOTE: THIS$5.000 ESCROW IS TIED TO THE RIGHT-0P-WAY PERMIT AGRGEMENT RGGARDING THF,SANITARY SEWER SERVICE. <br /> APPLICANT ESCROW FEE-OTHER 5,000.00 <br /> BOLLIG & SONS, [NC. TOTAL 5,000.00 <br /> 11401 COUNTY ROAD 3 <br /> HOPKINS, MN <br /> (612)938-4433 <br /> OWNER <br /> ARMSTRONG, WARD& KATHLEEN <br /> 6898 EDGEBROOK PLACE <br /> EDEN PRAIR[E, MN 55346- <br /> AGREEMENT AIVD SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specif ications,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 l80 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 wi[h the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />