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f • - � CITY OF ORONO PERMIT NO.: 2010-00526 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUEn: 06/24/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3200 NORTH SHORE DR <br /> PI lv : 08-117-23-41-0001 <br /> LEGAL DESC : UNPLATTED 08 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS ESCROW PAYMENT OF$2500.00 IS TIED TO PERMIT#2010-00079 AND 2010-00523-PAID 6/24/10. <br /> ';i'� riei l�y <br /> r0f19 :'� J�:`:c� ,. �:4 <br /> :r,+, 4��s :::.t�%;?�it8 �ur� ��i. <br /> ,.ara A 4=alper� <br /> �:�.«nr;ing dr�4lbnir+ <br /> -r1,U�N:'G79 � ����L�-�T52.a <br /> - _;_�.�G`5 <br /> -r�d A��s•-1}ev�lc:pe�� Dec�. <br /> � <br /> ;>ek iV�:�. ;c'�.i-' <br /> v4r� <br /> �at'{� A N�ir�_ <br /> :. Apriied: <br /> APPLICANT <br /> HALPER, BARBARA <br /> 2,500.00 <br /> 3200 NORTH SHORE DR 1 V 1 AL 2,500.00 <br /> WAYZATA, MN 55391- <br /> OWNER <br /> HALPER, BARBARA <br /> 3200 NORTH SHORE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,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 are <br /> requested in conformance with the 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 DESCRBED ABOVE. <br />