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' CITY OF ORONO P�aMiT No.: 2oli-o12�5 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUE�: 10/19/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> REPRINTED ON 10/19/2011 <br /> ADDRESS : 3980 DAHL RD <br /> PIIY : 08-1 17-23-23-0001 <br /> LEGAL DESC : UNPLATTED 08 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPL[CANT <br /> NOTE: THIS ESCROW FOR$2500 IS CONNECTED TO ZONING APPLICATION#11-3533 <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> MCGLYNN, THOMAS& TONI TOTAL 2,500.00 <br /> 3980 DAHL RD <br /> MOUND, MN 55364- <br /> OWNER <br /> MCGLYNN, THOMAS&TONI <br /> 3980 DAHL RD <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for�vhich this permit is�ssued 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 thc 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 specitied 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 Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> npplicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />