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CITY OF ORONO PEaM�T No.: 2oii-oolgi <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 03/30/2011 <br /> - 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2650 FOX ST <br /> PIN : 04-117-23-41-0003 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1249 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPGRTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIGD TO BUILDING PERMIT <br /> NOTF: ESCROW TIED TO BUILDING PGRMIT 2011-00103 <br /> � <br /> APPLICANT <br /> ESCROW FEE- BUILDING 2,500.00 <br /> PAULSON, STEPHEN TOTAL 2,500.00 <br /> 2650 FOX ST <br /> WAYZATA, MN 55391- <br /> .; � <br /> _=.;a !{eyiAi�et <br /> �-'��L� 1'il� JJ.i�1G � . . <br /> OWNER :�ipt Nt:,: �.::, <br /> PAULSON, STEPHEN <br /> 26�0 FOX ST <br /> WAYZATA, MN 55391- � �� <br /> _2cU� . . -.- <br /> ��rred Rev-Devei��per Deposi� <br /> AGREEMENT AND SWORN STATEMENT _______.__ . <br /> Thc work for which diis permit is issucd shall bc peribrmcd according to ��1� �y SL'`-:� <br /> the approved plans and specitications,applicable City approvals,and Uic —"—""�'�� <br /> State f3uilding Code. 'I�his permit is for only the work describcd and docs � �`k ,, <br /> not grant permission for additional or related���ork which requires sep�rate ���ieCk N�: �e�"� c�SG�,�. �� <br /> -'dyOY; <br /> permits. nll provisions of la�cs and ordinances govcrning this type of work ;z�f�Q�; F'�'l150'fi <br /> shall be compied with�chether or not specified herein.This permit will -�7 L}0^il�c�,: ��J�;t;s, � <br /> expire and become null and void if construction authorized is not _______�. <br /> commenced within I 80 days of the date of issuance,or if construction is -- � � <br /> suspended for a period of 180 da��s at an}�time after work has commenced. � � � <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Buildina Coda This permit may be � <br /> revoked at any time Lor due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued ��S� ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />