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i <br /> ' ' ' �� ' ' CITY OF ORONO PERMIT NO.: 2011-01557 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUEn: 12/15/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3520 NORTH SHORE DR <br /> PIN : 08-117-23-43-0009 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$2500 ESCROW IS TIED TO ZONING APPLICATION 12-3538 <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> PETERS ET AL,ANN L TOTAL 2,500.00 <br /> 3520 NORTH SHORE DR <br /> MN 55391- <br /> OWNER <br /> PETERS ET AL,ANN L <br /> 3520 NORTH SHORE DR <br /> ,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 specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and dces <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 consWction 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 Building Code.This percr►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 />