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r 11111 III 11111III II11.1HR <br /> CITY OF ORONO * z - 0 1 1 1 7 <br /> 2750 KELLEY PARKWAY DA p: 11/02/2012 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 450 OLD CRYSTAL BAY RD N <br /> PIN : 33-118-23-13-0020 <br /> LEGAL DESC : CRYSTAL BAY BUSINESS CENTER 2ND ADD <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: LAND USE 12-3587 <br /> APPLICANT <br /> ESCROW FEE-APPLICANT 700.00 <br /> Pine Corner Properties ESCROW FEE-DEVELOPER 0.00 <br /> 920 BROWN RDS TOTAL 700.00 <br /> WAYZATA,MN 55391- <br /> OWNER <br /> Pine Corner Properties <br /> 920 BROWN RD S <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 timefor due au e. <br /> L51•D \ti 2.. /Zo1Z <br /> Applicaffij4mitee Signa re Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />