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� � � CITY OF ORONO * 2 0 1 3 - 0 0 8 7 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/27/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3165 NORTH SHORE DR <br /> PIN : 09-117-23-33-0002 <br /> LEGAL DESC : UNPLATTED 09 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-OTHER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-OTHER <br /> APPLICANT ESCROW FEE-OTHER 4,300.00 <br /> Wagener Properties LLC TOTAL 4,300.00 <br /> 12520 WAYZATA BLVD <br /> MINNETONKA,MN 55305- L'iti�� �f Orc�r�� <br /> � �7511 Kelley Parkway <br /> �r��n,� MN 5`,s;� ?52-c49-45��0 <br /> Re�e:ot N�: 3.U�}y540 AuR cl, �:01s <br /> OWNER <br /> Wagener Properties LLC Wager�er Pr�operties <br /> 12520 WAYZATA BLVD <br /> MINNETONKA MN 55305- Rlanning and Zor,ing <br /> ' �U13-�U875 3i65 Narth L,:,GO.GG <br /> 5hare Dr <br /> 1 J 1-��45 <br /> AGREEMENT AND SWORN STATEMENT Deferred Aev-Uevelooer Dapusit <br /> The work for which this permit is issued shall be performed according to T»tdl: ks%��-'•'ji= <br /> the approved plans and specifications,applicable City approvals,and the °'O-"—'°O°'--" <br /> State Building Code. This permit is for only the work described and does Check <br /> not grant permission for additional or related work which requires sepazate CheCk N0: 1�11`�c� �f 3t��•'��� <br /> permits. All provisions of laws and ordinances goveming this type of work GdyGY: <br /> shall be compied with whether or not specified herein.This permit will WdJ2rieY` PY'�7R�1"t i85 � <br /> expire and become null and void if construction authorized is not T��tdl F1pR1 ied: � 4,���_�� <br /> commenced within 180 days of the date of issuance,or if construction is ,��� <br /> suspended for a period of I80 days at any time after work has commenced. Chdtlq_e Tender•ed; _ ______Y_____ <br /> The applicant is responsible for assuring all required inspections are G8/cl/cG13 �}c:USPN <br /> requested in conformance with the State Building Code.This permit may be <br /> revo d at any time for due ause. <br /> � � � a7 � �� , , <br /> Applicant Permitee Signature Date Issued By S' ature te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABO . <br />