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• CITY OF ORONO PERMIT NO.: 2oiaoo662 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 08/03/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ; ADDRESS : 1100 MILLSTON RD <br /> PIN : 10-117-23-14-0015 <br /> LEGAL DESC : MILLSTON <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$2,000 ESCROW PAYMENT WAS PAID BY THE CONTRACTOR KEENAN&SVEIVEN,CK#6822 ON 8/3/2010 <br /> THIS ESCROW IS TIED TO ZONING PERMIT 2010-00661 FOR REPLACING EXISITNG ASPHALT DRIVEWAY. <br /> APPLICANT ESCROW FEE-APPLICANT 2,000.00 <br /> KEENAN&SVEIVEN,INC. TOTAL 2,000.00 <br /> 15119 MINNETONKA BLVD. <br /> MINNETONKA,MN 55345 <br /> (952)475-1229 <br /> Minnesota State License#:7252 <br /> OWNER <br /> BURWELL,MR.&MRS. RODNEY P <br /> 7901 XERXES AVE S <br /> BLOOMINGTON,MN 55431- <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 goveming 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 Buiiding 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 />