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� � ' CITY OF ORONO * 2 0 1 3 - P1 1 1 0 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/2U2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3251 CASCO CIR <br /> PIN : 20-117-23-43-0007 <br /> LEGAL DESC : SPRING PARK <br /> : LOT O11 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$2500 ESCROW IS TIED TO ZONING PERMIT 2013-01096-PD CHECK#5312 BY WILLIAM KOCH. <br /> APPLICANT ESCROW FEE- APPLICANT 2,500.00 <br /> KOCH, WILLIAM & LAURA ESCROW FEE - DEVELOPER 0.00 <br /> 3251 CASCO CIR <br /> WAYZATA,MN 55391- TOTAL 2,500.00 <br /> OWNER <br /> KOCH, WILLIAM &LAURA <br /> 3251 CASCO CIR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The N ork for which this permit is issued shall be performed accordin�to <br /> the approved plans and specifications,applicable City approvals.and the <br /> State Building Code. This permit is for only the worl:described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances eoverning 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 /> commenccd within 180 days of the date of issuance_or if construction is <br /> suspended for a period oC 180 days at any time afrer work has commenced. <br /> The applicant is responsibie for assuring all required inspections are <br /> reques�ed in conformance with the State Building Code.This permit may be <br /> revoked at anv time 1�or duc cause. <br /> / / / / <br /> Applicant Yermitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />