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' �� ' � CITY OF ORONO * 2 B 1 2 - 0 0 1 9 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/16/2012 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 679 MINNETONKA HGLD LA <br /> PIN : 06-117-23-44-0008 <br /> LEGAL DESC : MINNETONKA HIGHLANDS ESTATES <br /> : LOT 004 BLOCK 002 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: ESCROW FOR STAIRWAY TO LAKE-PERMIT#2012-00198 <br /> APPLICANT ESCROW FEE-APPLICANT 2,000.00 <br /> NELSON,ROBERT&VICKY TOTAL 2,000.00 <br /> 6'79 MINNETONKA HGLD LA <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> NELSON,ROBERT&VICKY <br /> 679 MINNETONKA HGLD LA <br /> LONG LAKE,MN 55356- <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 aRer work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.T'his permit may be <br /> revoked at any time for due cause. <br /> ' ./��..�. 3 i �� i � � �,c.�-c �' i .3—,/�—/a- <br /> Applicant Permitee Signature �c Date Issued B Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />