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� � • ` ' ,- ---• ---C-IT-I�OF ORONO-- rE�IT�vvo::zon=o�ca�-- <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 07/13/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 141 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0026 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 021 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERIVTIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS$2500 ESCROW IS TIED TO BUILDING PERMIT 2011-00476 AND 2011-00625 <br /> APPLICANT <br /> REMARK,ROGER&MEGAN <br /> ESCROW FEE-BUILDING 2,500.00 <br /> 141 CHEVY CHASE DR TOTAL 2,500.00 <br /> WAYZATA,MN 55391 <br /> OWNER <br /> REMARK,ROGER&MEGAN <br /> 141 CHEVY CHASE DR <br /> WAYZATA,MN 55391 <br /> AGREEMENT AND SWORI�T 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 sepazate <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 consVuction 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 after 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 /> Appl�cant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REOUiRED FnR W(�RK n'ruFR Tua�.r nFeruru�r, nun�r� <br />