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w � <br /> CITY OF ORONO PERMIT NO.: 2010-01117 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISsuED: 1 U16/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2058 SHORELINE DR <br /> PIN : 15-117-23-21-0003 <br /> LEGAL DESC : HARTWOOD <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: ESCROW OF$2500.00 PAID BY OWNER-CHECK#1763 FOR ZONING PERMIT 2010-01 1 16-RETAINIG WALL <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> TERRY,JOSEPH&KAIMAY TOTAL 2,500.00 <br /> 5109 RIDGE ROAD <br /> MINNEAPOLIS,MN 55402- <br /> OWNER <br /> TERRY,JOSEPH&KAIMAY <br /> 5109 RIDGE ROAD <br /> MINNEAPOLIS,MN 55402- <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 /> l l � 1 /l / l D <br /> Applicant Permitee Signature Date Iss e By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />