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- ' . CITY OF ORONO * 2 � 1 � _ � � S 5 � * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/28/2012 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2280 FOX ST <br /> PIN : 03-117-23-32-0014 <br /> LEGAL DESC : BILL KELLEYS LAND 1 ST DIV <br /> : LOT 002 BLOCK 001 <br /> PERMTT TYPE : ESCROW FEE-WETLAND <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-WETLAND <br /> NOTE: THIS$5,000.00 ESCROW IS TIED TO BULDING PERMIT-2012-00738 FOR WETLAND BLTFFER <br /> APPLICANT ESCROW FEE-WETLAND <br /> KUHL DESIGN&BUILD,LLC 5,000.00 <br /> 1515 STH STREET SOUTH TOTAL 5,000.00 <br /> HOPKINS, MN 55343- <br /> (952)935-9469 <br /> Minnesota State License#:BC390161 <br /> OWNER <br /> MYHRAN, ANDERS&LYNN <br /> 2280 FOX ST <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <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 <br /> State Building 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 permit 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 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 /> Appl�cant Perm�tee S�gnature Date � � <br /> Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAI�'DESCRIBED ABOVE. <br />