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J rffn <br /> CITY OF ORONO * 2 0 1 3 - 0 0 4 2 8 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/30/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> REPRINTED ON 7/22/2013 <br /> ADDRESS 3850 WATERTOWN RD <br /> PIN 32-118-23-32-0005 <br /> LEGAL DESC HILLAWAY FARM <br /> LOT 001 BLOCK 001 <br /> PERMIT TYPE ESCROW FEE-OTHER <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ESCROW FEE-OTHER <br /> NOTE: FOR ZONING PERMIT 2013-00332 <br /> APPLICANT ESCROW FEE-OTHER 2,000.00 <br /> ANDERSON,MARK&KRISTEN TOTAL 2,000.00 <br /> 3850 WATERTOWN RD <br /> MAPLE PLAIN,MN 55359- <br /> OWNER <br /> ANDERSON,MARK&KRISTEN <br /> 3850 WATERTOWN RD <br /> MAPLE PLAIN,MN 55359- <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 Permitee Signature /Date / Issu By Signature <br /> Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />