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� CITY OF ORONO � 0 1 z - 0 0 5 8 0 * <br /> 2750 KELLEY PARKWAY DATE [SSUED: 06/25/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3980 DAHL RD <br /> PIN : 08-117-23-23-OOOI <br /> LEGAL DESC : UNPLATTED 08 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-OTHER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-OTHER <br /> NOTE: THIS$500.00 ESCROW IS T[ED TO BUILDING PERM[T#2012-00498 AND DEMOLITION PERMIT#2012-00490-PAID WITH <br /> CHGCK#81 14 ON 6/2 U2012-E3Y ANTOINET"1'E MCGLYNN <br /> APPLICANT ESCROW FEE-OTHER 500.00 <br /> MCGLYNN,THOMAS&TONI TOTAL 500.00 <br /> 3980 DAHL RD <br /> MOUND, MN 55364- <br /> OWNER <br /> MCGLYNN,THOMAS&TONI <br /> 3980 DAHL RD <br /> MOUND, MN SS364- <br /> AGREEMENT AND SWORIV STATEMENT <br /> The work Yor which this pemiit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Buiiding Code. This permit is for only the work described and does <br /> not gran[permission for additional or related work which requires separa[e <br /> permits. All provisions of laws and ordinances goveming diis type of work <br /> shall be compied with whe[her or not specitied herein.This permi[will <br /> ezpire and become null and void if construction authorized is not <br /> commenced wi[hin 180 days of[he da[e of issuance,or if cons[ruc[ion is <br /> suspended for a period of 180 days at any[ime after work has commenced. <br /> The applicant is responsible for assuring all required inspec[ions are <br /> requested in conformance wi[h[he State Buildin�Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Yermitee Signature Date Issued By Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />