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CITY OF ORONO * Z QJ 1 2 - 0 0 3 4 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/OU2012 <br /> ORONO, MN 553�6- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1685 FOX ST <br /> PIN : 03-117-23-44-0004 <br /> LEGAL DESC : HANSER ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: TIED TO BUILDING PERMT 2012-00258 PD BY NNIN S.MACMILLAN CK 7763 <br /> APPLICANT <br /> ESCROW FEE-BUILDING 2,500.00 <br /> HORNIG, STEVEN <br /> 168�FOX ST TOTAL 2,500.00 <br /> WAYZATA, MN 55391- <br /> OWNER <br /> HORNIG, STEVEN <br /> 1685 FOX ST <br /> WAYZATA. MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for tihich this permit is issued shall be performcd accordin�to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State 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 specified herein.This perniit 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 afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformancc with the State Building Code.This permit may bc <br /> revoked at anv time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued Bv Si�nature Date <br /> SEPARATE PERMITS REQUIRED FOR WOKI�OTHER THAN DESCRIBED ABOVE. <br />