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CITY OF ORONO PERMIT NO.: 2009-00693 <br /> �` 2750 KELLEY PARKWAY <br /> ` � ORONO, MN 55356- DATE ISSUED: 10/20/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 290 CRESTVIEW AVE <br /> PIN : OS-117-23-14-0018 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT 000 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: THIS GSCROW IS TIED TO BUILDING PERMIT-2009-00674 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> HOCHSTEDLER, SCOTT TOTAL 2,500.00 <br /> 290 CRESTVIEW AVE <br /> LONG LAKE, MN 55356- <br /> OWNER <br /> HOCHSTEDLER, SCOTT <br /> 290 CRESTVIEW AVE <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performcd according to <br /> the approved plans and specifications,applicable City approvals,and thc <br /> State Building Code. This permit is for only the work described and docs <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 wi[h 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 l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance [h the State Building Code.This permit may be <br /> revoked atany time for d e cause. <br /> i <br /> C z � �c�l��_�� ,---- /r_�/ /t t� /�aC''� <br /> � <br /> A l' ant Permit ignature Date Issue y nature <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV <br />