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_ CITY OF ORONO PERMIT NO.: 2010-00519 <br /> _f 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 06/23/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4725 NORTH SHORE DR <br /> PIN : 07-117-23-32-0017 <br /> LEGAL DESC : BERGQUIST&WICKLUNDS PARK <br /> : LOT 005 BLOCK 005 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: <br /> THIS ESCROW PAYMENT OF$700.00 WAS PAID FOR ZONING APPLICATION 10-3477 <br /> APPLICANT ESCROW FEE-APPLICANT 700.00 <br /> ROEDEL,JOHN <br /> 4725 NORTH SHORE DRIVE TOTAL 700.00 <br /> WAYZATA,MN 55391- <br /> OWNER <br /> ROEDEL,JOHN <br /> 4725 NORTH SHORE DRIVE <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 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 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 /> Applicant Pennitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />