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. <br /> CITY OF ORONO PERMIT NO.: 20��-0�0�3 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEu: 09/07/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1205 DICKENSON ST <br /> PIN : 02-117-23-31-0040 <br /> LEGAL DESC : MINNETONKA BLUFFS <br /> : LOT 000 BLOCK 016 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NO"I'E: "I'HIS$2500 ESCROW WAS TAKEN IN ON MAY 16,2011 AND TIED TO ZONING APPLICATION 11-3508 <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> WOTIPKA, LINDA A& LEE A TOTAL 2,500.00 <br /> 9908 N W 20TH ST <br /> PEMBROKE PINES, FL 33024- <br /> OWNER <br /> WOTIPKA, LINDA A& LEE A <br /> 9908 NW 20TH ST <br /> PEMBROKE PINES, FL 33024 <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for which this permit is issued shall bc performed according to <br /> the approved plans and specitications,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 /> pemtits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not speciYied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signaturc Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />