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r <br /> CITY OF ORONO PERMIT NO.: 2008-00145 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 08/19/2008 <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 265 ORONO ORCHARD RD S <br /> PIN : 02-117-23-22-0005 <br /> LEGAL DESC : UNPLATTED 02 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : USER DEFINED <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) <br /> NOTE: REPLACING PIPE <br /> APPLICANT <br /> ORONO,VILLAGE OF TOTAL <br /> 265 ORONO ORCHARD RD S <br /> WAYZATA,MN 55391 PAID WITH CASH <br /> PAID WITH CC# <br /> RECEIPT NUMBER: <br /> OWNER <br /> ORONO,VILLAGE OF <br /> 265 ORONO ORCHARD 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 time for due cause. <br /> S / / 9/ G 2( <br /> Applicant Permitee Signature Date Is d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />