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CITY OF ORONO PERMIT NO.: 2oiaooa62 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE IssuEn: 06/14/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1265 SHORELINE DR <br /> PIN : 02-117-23-34-0010 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1123 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS ESCROW PAYMENT OF$2500.00 WAS PAID ON 8/19/2009 FOR BUILDING PERMIT#2009-00869 <br /> ENTERED INTO PERMIT WORKS ON 6/14/2010 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> MCCABE,ROGER TOTAL 2,500.00 <br /> 1265 SHORELINE DR <br /> WAYZATA,MN 55391- <br /> OWNER <br /> MCCABE,ROGER <br /> 1265 SHORELINE DR <br /> WAYZATA,MN 55391- <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 dces <br /> not grant permission for additional or related work which requires sepazate <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 I 80 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 Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />