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CITY OF ORONO PERMIT NO.: 2010-00187 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 04/05/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 4655 TONKAVIEW LA <br /> PIN 07-117-23-32-0064 <br /> LEGAL DESC N/A <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: ESCROW FEE TIED TO NEW HOME BUILDING PERMIT#2010-00176 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> LICURSI,ANGELO&RACHEL TOTAL 2,500.00 <br /> 17601 70TH PLACE N <br /> MAPLE GROVE,MN 55311- <br /> OWNER <br /> LICURSI,ANGELO&RACHEL <br /> 17601 70TH PLACE N <br /> MAPLE GROVE,MN 55311- <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 />