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� � CITY OF ORONO PERMIT NO.: 2009-00826 <br /> � 2750 KELLEY PARKWAY <br /> , ORONO,MN 55356- DATE IssuEn: 1Ui7/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2825 LITTLE ORCHARD WAY <br /> PIN : 09-117-23-21-0012 <br /> LEGAL DESC : LITTLE ORCHARD <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> APPLICANT ESCROW FEE-APPLICANT 2,000.00 <br /> SCHWARTZ,DAVID TOTAL 2,000.00 <br /> 2825 LITTLE ORCHARD WAY <br /> WAYZATA,MN 55391- <br /> OWNER <br /> SCHWARTZ,DAVID <br /> 2825 LITTLE ORCHARD WAY <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit 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 aze <br /> requested in conformance with[he 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 />