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� CITY OF ORONO * 2 0 1 z - 0 0 7 1 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/26/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3095 CASCO POINT RD <br /> PIN : 20-117-23-34-0005 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1311 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-OTHER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-OTHER <br /> NOTE: THIS$7500 ESCROW IS TIED TO BUILDING PERMIT#2011-01191 FOR TEMPORARY CERTIFICATE OF OCCUPANCY <br /> PAID WITH CHECK#218 BY PHILLIP WHIPPLE <br /> APPLICANT ESCROW FEE-OTHER 7,500.00 <br /> WHIPPLE,PHILLIP TOTAL 7,500.00 <br /> 3095 CASCO PT RD <br /> WAYZATA, MN 55391- <br /> OWNER <br /> WHIPPLE,PHILLIP <br /> 3095 CASCO PT RD <br /> WAYZATA,MN 55391- <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 Buildin�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 afier work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <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 Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />