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' ' ' CITY OF ORONO * Z 0 1 z — fd 0 5 0 3 * <br /> 2750 KELLEY PARKWAY DATE 1SSUED: 06/07/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> REPRINTED ON 6/18/2012 <br /> ADDRESS : 2215 BAYVIEW PL <br /> PIN : 17-117-23-44-0026 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <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 FEE IS TIED TO DEMOLITION PERMIT 2012-00500 <br /> APPLICANT ESCROW FEE-APPLICANT 2,000.00 <br /> AUTUMN RIDGE HOMES INC TOTAL 2,000.00 <br /> P O BOX 375 <br /> DELANO,MN 55328- <br /> (763)269-2697 <br /> Minnesota State License#: 20637701 <br /> OWNER <br /> DUNN,TIMOTHY <br /> 3010 BROOKS LANE <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 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 after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Buildin�Code.This permit may bc <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 />