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'� � ' CITY OF ORONO <br /> 2750 KELLEY PARKWAY * Z 0 1 2 — 0 fd 2 7 9 * <br /> DATE ISSUED: 04/12/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3026 CASCO POINT RD <br /> PIN : 20-117-23-34-0026 <br /> LEGAL DESC : KELLY 2ND ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$2�00.00 ESCROW IS TIED TO LON[NG PERMIT#2012-00244 <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> DETERMEN,ANTHONY&TRINA <br /> 3026 CASCO PT RD ESCROW FEE- DEVELOPER 0.00 <br /> WAYZATA,MN 55391- TOTAL 2,500.00 <br /> �1�y ��� Uf'�J�IV <br /> �75u Kelley Parkway �_�44_�u <br /> Orono MN 55356 <br /> OWNER <br /> DETERMEN, ANTHONY&TRINA Receipt No: 3.U0667t? flor lC, ��)lc <br /> 3026 CASCO PT RD <br /> WAYZATA, MN 55391- Rr�'thony Determen <br /> Planninq ar�d tonir,g <br /> c'U12-f�c79 3�.�6 Casco Pt �,5ti+�.U�a <br /> AGREEMEN"T AND SWORN STATEMENT Rd <br /> 101-22�U� <br /> I'he work for which this permit is issued shall be performed according to peferred Rev-uevelopEr• Leposit <br /> the approved plans and specifications,applicable City approvals,and the --'—'—'-------- <br /> State Building Code. This permit is for only the work described and docs I,��ai: �e�'L'� <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 Cheek <br /> shall be compied with whether or not speeitied herein.This permit will Cheek No: 1�� �t 5�U.U�� <br /> expire and become null and void if cons[ruction authorized is not Gayar: <br /> commenced within I 80 days of the date of issuance,or if construction is fli1thc,ny Deter�en <br /> T�� 2 540.11��' <br /> suspended for a period of 180 days at any time after work has commenced. _t81 RPpI l�: _M_ �______ <br /> The applicant is responsible for assuring ali required inspections are j�_� <br /> requested in conformance with the Sta[e Building Code.This permit may be i:har�9e Tzr�det'ed: � _ <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 />