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� <br /> CITY OF ORONO PERMIT NO.: 2011-01301 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/24/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> REPRINTED ON 10/24/2011 <br /> ADDRESS : 315 HOLLANDER RD <br /> PIN : 25-118-23-43-0014 <br /> LEGAL DESC : HOLLY ACRES <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$2,000.00 ESCROW IS CONNECTED TO DEMO PERMIT#20ll-01284-F DEMOLITION OF POOL <br /> APPLICANT ESCROW FEE-APPLICANT 2,000.00 <br /> FAGRE,NATHAN&CONSTANCE TOTAL 2,000.00 <br /> 3 I S HOLLANDER RD <br /> WAYZATA,MN 55391- <br /> OWNER <br /> FAGRE,NATHAN&CONSTANCE <br /> 315 HOLLANDER RD <br /> WAYZATA,MN 55391- <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 sepazate <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />