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� � CITY OF ORONO * Z 0 1 2 - 0 P1 9 6 7 * <br /> 2750 KELLEY PARKWAY �AT�1SSUEn: 09/27/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4495 BAYSIDE RD <br /> PIN : 06-117-23-21-0004 <br /> LEGAL DESC : LJNPLATTED 06 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: TIED TO BUILDING PERMIT 2012-00891 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> Preservation Properties LLC TOTAL 2,500.00 <br /> 145 RAILWAY ST W <br /> PO BOX 35 <br /> LORETTO, MN 55357-0035 <br /> OWNER <br /> Preservation Properties LLC <br /> 145 RAILWAY ST W <br /> PO BOX 35 <br /> LORETTO,MN 55357-0035 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according[o <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 afier work has commenced. <br /> The applicant is responsible for ing all required inspections are <br /> requested in conf rm ce h e tate Building Code.This permit may be <br /> revoked i or e c use <br /> �L�ilC.G� ���l l,�Z �� l l <br /> Ap ic nt Permitee Signawre Date <br /> � lssued By Sig re D <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . <br />