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., CITY OF ORONO PERMIT NO.: 2012-00031 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �SSUEn: OU12/2012 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2660 CASCO POINT RD <br /> PIN : 20-117-23-24-0002 <br /> LEGAL DESC : UNPLATTED 20 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS GSCROW PAYMEN'1'OF$2500 IS TIGD TO BUILDING PERMIT 2011-00010 <br /> APPLICANT ESCROW FEE- BUILDING 2,500.00 <br /> LECY BROS HOMES TOTAL 2,500.00 <br /> 15012 HWY 7 <br /> MINNETONKA, MN 55345 <br /> (952)944-9499 <br /> Minnesota State License#:20325555 <br /> OWNER <br /> BLOMBERG,ANGELA <br /> 2660 CASCO PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for which this permit is issued shall be performed according to <br /> the approved pians 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 addi[ional 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 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 cons[ruction is <br /> suspended for a period of I 80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conforn�ance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Yermitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />