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i . <br /> � CITY OF ORONO PERMIT NO.: 2010-00832 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 09/13/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3382 BAYSIDE RD �,.C�,�' <br /> PIN : OS-]17-23-14-0��'���' �� <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT 009 BLOCK 005 <br /> PERMIT TYPE : ESCROW FEE-T[ED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-T[ED TO BUILDING PERMIT <br /> NOTE: TIED TO BUILDING PERMIT 2010-00733 <br /> CHECK$2500.00 PAID BY CHARLES CUDD <br /> APPLICANT ESCROW FEE- BUILDING 2,500.00 <br /> CHARLES CUDD LLC TOTAL 2,500.00 <br /> 15050 23RD AVENUE N <br /> PLYMOUTH, MN 55447- <br /> �) <br /> Minnesota State License#: 20635245 <br /> OWNER <br /> HUTHWAITE, MICHAEL& MARILYN <br /> 7715 AINSWORTH DR <br /> GERMANTOWN,TN 38138- <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 goveming this type of work <br /> shall be compied with whether or not specitied 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 atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State I�uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />