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� . CITY OF ORONO * 2 0 1 3 — fd 0 3 3 8 * <br /> 2750 ICELLEY PAItKWAY DATE ISSUEll: 0�/09/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 106 CHEVY CHASE DR <br /> PIN . 36-118-23-41-0033 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 028 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW TIED TO BUILD(NG P�RMIT#2013-00283 <br /> APPLTCANT ESCROW FEE- BUILDING 700.00 <br /> JOHNSON, MR. & MRS. TOTAL 700.00 <br /> 106 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> OWNER <br /> JOHNSON, MR. & MRS. <br /> ]06 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work Yor which[his permit is issued shall be performed according to <br /> the approved plans and specihcations,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> no[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 pennit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issu�nce,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�ssuring all required inspections are <br /> requested in conformance with the State Suilding Code.This permit m1y be /L-// <br /> �e t any t caus . <br /> -� s� �' � � ��-� , �,g -� <br /> App icant 'ermitee.�.,n� UaYz Issued E3y Signature Date <br /> SEPARATE PERMITS REQUIRGD FOR WORK OTHER TNAN DESCRIBED ABOVE. <br />