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' R CITY OF ORONO PERMIT NO.: 2010-00081 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �ssUEn: 02/12/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 515 FERNDALE RD N <br /> PIN : 36-118-23-14-0006 <br /> LEGAL DESC : UNPLATTED 36 1 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NO"11:: I:SCROW TIED TO I3UILDING PERMIT 20�00862 PAID 2/12/10 CK 6825 <br /> APPLICANT ESCROW FEE- BUILDING 2,500.00 <br /> GRIFFIN, ROBERT& KIMBERLY TOTAL 2,500.00 <br /> 125 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> OWNER <br /> GRIFFIN, ROBERT& K[MBERLY <br /> 125 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issucd shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> S[ate Buildin�Code. This permit is for only the 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."Chis permit will <br /> expire and become null and void if construction authorized is not <br /> commeneed 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 res onsible for assuring all required inspections are <br /> requested in co nce with the State Building Code.This permit may be <br /> revoked at y ti e fo <br /> � ��/ �/ l / / <br /> Applicant Permitee ignature Date Issue y nature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV <br />