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. ; CITY OF ORONO * 2 PJ 1 2 - PJ 0 5 P1 3 * <br /> '� � 2750 KELLEY PARKWAY DATE ISSUED: 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-APPL[CANT 2,000.00 <br /> AUTUMN R[DGE 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 /> ",'iGuS �8�8Y�:.�. <br /> �tit� <br /> OWNER "-r4�r`J:; - c�15 9ayvie;� !"� �°,tr`. <br /> DUNN,TIMOTHY �� <br /> •;?`'r'C5 <br /> 3010 BROOKS LANE ��.r�� ��,�;_��,y��,�p��, ���x.. <br /> WAYZATA, MN 55391- -• <br /> a1; � : <br /> `k ._.-- ___.._ <br /> AGREEMENT AND SWORN STATEMENT �`�k �; ����y4� <br /> ; rU�, <br /> The work for which this permit is issued shall be performed according to ��„�.� �i� � ���;. <br /> the approved plans and specifications,applicable City approvals,and the �i {�p�,����� <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 �;�•��j; , <br /> permi[s. 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 becomc null and void if construction authorized is not <br /> commenccd widiin I 80 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 /> 'I'he applicant is responsible for assuring all required inspections are <br /> requested in conformance with Ihe State Building Code.This permit may be <br /> revoked at any[ime for due cause. <br /> l l C� l��/Vt�".�, l ` U l l0" <br /> Applicant Permitee Signature Date Issued Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />