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CITY OF ORONO * Z 0 1 6 - 0 0 3 5 PJ * <br /> , <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 04/07/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2480 CASCO POINT RD <br /> PIN : 20-117-23-21-0037 <br /> LEGAL DESC : TILLSONS VILLA CARMAN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: ESCROW FOR BOATHOUSE REPAIR PERMIT#2016-00348-PAID BY:OWNER: STEPHEN RUDOLPH-$700.00-CK#5121 <br /> APPLICANT ESCROW FEE-APPLICANT 700.00 <br /> RUDOLPH, STEPHEN& SUSAN TOTAL 700.00 <br /> 2480 CASCO PT RD Payment(s) <br /> CHECK 5121 700.00 <br /> WAYZATA, MN 55391- <br /> OWNER <br /> RUDOLPH,STEPHEN&SUSAN <br /> 2480 CASCO PT RD <br /> WAYZATA,MN 55391- <br /> AGREEME1vT 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 /> no[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 I80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be J ,�, <br /> revoked at any time for due cause. ���'� <br /> Y��l c.� I �e�l o c,�.�- � ' 1��..�e-��� �f/ ? l I,� <br /> Applicant Permitee Signature Date Issued By Signature Date <br />