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CITY OF ORONO PERMIT NO.: 2011-01584 <br /> � 2750 KELLEY PARKWAY <br /> � ORONO,MN 55356- DATE ISSUED: 12/23/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 940 NORTH ARM DR <br /> PIN : 07-117-23-11-0014 <br /> LEGAL DESC : PIRATES COVE <br /> : LOT O10 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-OTHER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-OTHER <br /> NOTE: ESCROW FOR DEMO PERMIT �e//—6/S68 <br /> APPLICANT ESCROW FEE-OTHER 2,000.00 <br /> KEITH WATERS&ASSOCIATES TOTAL 2,000.00 <br /> 6216 BAKER ROAD <br /> SUITE 110 <br /> EDEN PRAIRIE,MN 55346- <br /> Minnesota State License#: 1508 <br /> OWNER <br /> Guardia Development Group,LLC <br /> LLC,GUARDIA DEVELOPMENT GROUP, <br /> 2501 WAYZATA BLVD. <br /> MINNEAPOLIS,MN 55405- <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 I 80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This perrt►it 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 />