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� � . CITY OF ORONO PERMIT NO.: 2011-00268 <br /> 27�0 KELLEY PARKWAY <br /> � <br /> ORONO, Ml�T ��3�6- DATE ISSUED: 04/29/2011 <br /> (9�2) 249-4600 FAX: (9�2 249-4616 <br /> ADDRESS : 2400 FOX ST <br /> ; PIN : 04-117-23-41-0011 <br /> LEGAL DESC : MAJESTIC SPRUCE ADDITION <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> i PROPERTY TYPE : RESIDENTIAL <br /> � CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS$]0,000 ESCROW IS TIED TO BLDG PERMIT#2009-OOR03 FOR TEMPORARY CERTIFICATE OF�CCUPANCY PAID BI' <br /> CHECK#020717 BY' CHARLES CUDD. <br /> s <br /> APPLICANT ESCROW FEE-BUILDING 10,000.00 <br /> CHARLES CUDD LLG TOTAL 10,000.00 <br /> 15050 23RD AVENUE N <br /> PLYMOUTH. MI�' S�447- <br /> �) <br /> _Minnesota State License#: 20635245 <br /> OWNER <br /> LINDBLOOM, NLIE <br /> 2690 RAINEZ'RD <br /> WAYZATA, MIv' S5391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed accordin�to <br /> the approved pfans and specifications,applicable Cit��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 whicn requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall he 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 davs 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 /> / � <br /> ,_,App(icant Permitee Si�nature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />