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� � CITY OF ORONO *��0 0 5 3 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/14/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3980 DAHL RD <br /> PIN : 08-117-23-23-0001 <br /> LEGAL DESC : UNPLATTED 08 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTB: BSCROW TIED TO DEMO PERMIT#2012-00490,PAID W/CK#6126 QY THOMAS Iv1CGLYNN <br /> APPLICANT ESCROW FEE- BUILDING 2,000.00 <br /> MCGLYNN, THOMAS& TONI <br /> 3980 DAHL RD TOTAL 2,000.00 <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 which this permit is issued shall be perfonned according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permi[is for only the work described and does <br /> not grant pennission for addi[ional or rela[ed 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 nult and void if cons[ruction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> susp�nded for a period of 180 days at any time after work has commenced. <br /> The applic�nt is responsible for assuring alQre uired inspec[ions are <br /> requested in conlormance�vith[he State;8uil ing Code.This permit may be <br /> i <br /> revoked at any time for�¢uekause;� � i� , <br /> _! , � <br /> _— / ���;� j =�% <br /> - -' . . ; ��� /�. , �-�=r_', l��'-'i� l /�,J=— ��- ��� � '_ �' � : � �, ., > � � � ���;' � i ,� <br /> Applicant Permitee Signature ' / e: Date [ssued I�y Signature Date <br /> SEPAT(ATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br /> . <br />