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� � ' ' CITY OF ORONO PERMIT NO.: 2011-01552 <br /> ' ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 12/15/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3508 NY PL <br /> PIN : 20-117-23-42-0024 <br /> LEGAL DESC : TAYLORS SUBD OF SPRING PARK LO <br /> : LOT 183 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$2500 ESCROW IS TIED TO ZONING AI'PLICATION#12-3541 <br /> APPLICANT <br /> WILSON, STEPHEN <br /> ESCROW FEE-APPLICANT 2,500.00 <br /> 3510 IVY PL TOTAL 2,500.00 <br /> WAYZATA, MN 55391 <br /> OWNER <br /> WILSON, STEPHEN <br /> 3510IVY PL <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 separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified hereia This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced wiUiin 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at airy time afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with[he S[ate Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> / / <br /> Appl�cant Permitee Signature Date Issued By S�gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />