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� CITY OF ORONO PERMIT NO.: 2009-00567 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUED: 09/08/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1880 FOX ST <br /> PIN : 03-117-23-42-0015 <br /> LEGAL DESC : WALDRON WOODS <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW FOR NEW HOME PERMIT-NOT ISSUED YGT <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> BLUM, STEVE TOTAL 2,500.00 <br /> 1880 FOX STREET <br /> WAYZATA, MN 55391- <br /> OWNER ':�� ii�yl: <br /> 'i�7jF1�} r1�'v i�...�2��- <br /> BLUM, STEVE _ <br /> 1880 FOX STREET =1 r�= <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT ;..�a���.t, <br /> r��r� <br /> The work for which this permit is issued shall be performed according to • <br /> the approved plans and specifications,applicable City approvals,and the '�PL� r��es'-T121a�+:Rs',' ��?(; <br /> State Building Code. This permit is tbr only the work described and does <br /> not grant permission for additional or related work which requires separate ' z..--�- <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 �'.,� �t: <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 a[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 /> � � � e ��Y�C� v� � i <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />