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CITY OF ORONO * z 0 1 z - 0 1 1 6 9 * <br /> � . 2750 KELLEY PARKWAY DATE ISSUED: 1U15/2012 <br /> , � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3025 CASCO POINT RD <br /> PIN : 20-117-23-34-0002 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0394 <br /> : LOT 000 BLOCK 000 � <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$2.000 ESCROW[S TIGD TO ZONING PERMIT 2012-01 168-PD I3Y SCO"I'�S"I'RANA <br /> APPLICANT ESCROW FEE-APPLICANT 2,000.00 <br /> STANDA, SCOTT& IRENE ESCROW FEE- DEVELOPER 0.00 <br /> 3025 CASCO POINT RD <br /> WAYZATA, MN 55391- TOTAL 2,000.00 <br /> OWNER <br /> STANDA, SCOTT& IRENE <br /> 3025 CASCO POINT 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 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 specitied herein.'I'his 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 atter 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 Permitec Signature Date Issued 13y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />