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� , CITY OF ORONO * 2 0 1 5 - 0 0 9 0 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/20/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3I683 NORTH SHORE DR <br /> PIN : 0!8-117-23-34-0053 <br /> LEGAL DESC ; : CRYSTAL BEACH <br /> i � <br /> : LOT 005 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TY E : ESCROW FEE-APPLICANT <br /> NOTE: THIS$2500 ESC OW IS TIED TO VARIANCE APPLICATION IS-3767 <br /> PLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> TOTAL 2,500.00 <br /> RESSLER,JON Payment(s) <br /> 3683 NORTH SHORE CHECK 2033 2,500.00 <br /> WAYZATA,MN 55391 <br /> OWNER <br /> RESSLER,JON <br /> 3683 NORTH SHORE <br /> WAYZATA,MN 55391 <br /> AGREEMENT ' SWO STATEMENT <br /> The work for which this perm is issued sh l be performed according to <br /> the approved plans and specif� ations,appli able City approvals,and the <br /> State Building Code. This pe, it is for onl the work described and dces <br /> not grant permission for addit nal or relate work which requires separate <br /> permits. All provisions of la and ordinan es governing this type of work <br /> shall be compied with whethe or not speci ed herein.This permit will <br /> expire and become null and v 'd if construc ion authorized is not <br /> commenced within 180 days q the date of i suance,or if construction is <br /> suspended for a period of 180 ays at any ti e after work has commenced. <br /> The applicant is responsible f assuring all equired inspections are <br /> requested in conformance wi the State Bu�lding Code.This permit may be <br /> revoked at any time for due c se. ' <br /> I ' <br /> / / <br /> Applicant Permitee Signat re ' Date Issued By Signature Date <br /> i <br /> � <br />