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h CITY OF ORONO PERMIT NO.: 2010-01158 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 11/30/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1404 BALDUR PARK RD <br /> PIN : 08-117-23-34-0018 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT 014 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> COIVSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NO"fE: ESCROW FOR BUILDING PGRMIT 2010-01145 <br /> PA1D BY [3ENJAMIN D. MILBRATH CHECK 1408 <br /> APPLICANT ESCROW FEE- BUILDING 2,500.00 <br /> MILBRATH, BENJAMIN TOTAL 2,500.00 <br /> 1404 BALDUR PARK RD <br /> WAYZATA, MN 55391- <br /> OWNER <br /> MILBRATH, BENJAMIN <br /> 1404 BALDUR PARK RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The�vork for���hich this permit is issucd shall be performcd according to <br /> the approved plans and specilications,applicable City approvals,and the <br /> State Building Code. This pcnnit is for only the work described and does <br /> not grant permission for additional or rclated work which requires separate <br /> permits. All provisions of�laws and ordinances governing this type ofwork <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 wilhin 180 days oC the date of issuanee,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> "fhe applicant is responsible for assuring tdl required inspections are <br /> requested in conformance with the State 13uilding Code.'Chis pcnnit may be <br /> revoked at any time for due cause. <br /> I � � / / <br /> Applica��t Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />