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CITY OF ORONO PERMIT NO.: 2010-00477 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 06/14/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 4725 NORTH SHORE DR <br /> PIN : 07-117-23-32-0017 <br /> LEGAL DESC BERGQUIST&WICKLUNDS PARK <br /> LOT 005 BLOCK 005 <br /> PERMIT TYPE ESCROW FEE-OTHER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-OTHER <br /> NOTE: THIS$700 ESCROW PAYMENT WAS RECEIVED ON 12/17/2009 FOR VARIANCE RENEWAL 06-3234 <br /> ENTERED INTO PERMIT WORKS 6/14/2010 <br /> APPLICANT ESCROW FEE-OTHER 700.00 <br /> Hessburg Development <br /> DEVELOPMENT,HESSBURG TOTAL 700.00 <br /> 4165 SHORELINE DRIVE <br /> SPRING PARK,MN 55384- <br /> OWNER <br /> Hessburg Development <br /> DEVELOPMENT,HESSBURG <br /> 4165 SHORELINE DRIVE <br /> SPRING PARK,MN 55384- <br /> AGREEMENT 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 /> 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 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 <br /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />