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' CITY OF ORONO PERMIT NO.: 2009-00460 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 08/06/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 2687 WAYZATA BLVD W <br /> PIN 33-118-23-13-0002 <br /> LEGAL DESC UNPLATTED 33 118 23 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: <br /> THIS ESCROW PAYMENT OF$2,000.00 IS ASSOCIATED WITH BUILDING PERMIT#2009-00122 <br /> APPLICANT ESCROW FEE-BUILDING 2,000.00 <br /> Spensa Development Group TOTAL 2,000.00 <br /> 601 CARLSON PKWY-SUITE#350 <br /> MINNETONKA,MN 55305- <br /> (952)449-5755 <br /> OWNER <br /> Spensa Development Group <br /> 601 CARLSON PKWY-SUITE#350 <br /> MINNETONKA,MN 55305- <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 />