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CITY OF ORONO * 2 0 1 5 - 0 1 Z 6 1 * <br /> ., 2750 KELLEY PARKWAY DATE ISSUED: 09/29/2015 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1425 BAY RIDGE RD <br /> PIN : 10-117-23-34-0017 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0192 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOIv TYPE : ESCROW FEE-APPL[CANT <br /> NOTE: ESCROW FOR ZONING PERMIT#2015-01155-PD BY:ROBERT WIENS- <br /> APPLICANT ESCROW FEE-APPLICANT 700.00 <br /> TOTAL 700.00 <br /> WIENS, ROBERT&JULIE Payment(s) <br /> 1425 BAY RIDGE RD CHECK 6753 700.00 <br /> WAYZATA, MN 55391- <br /> OWNER <br /> WIENS, ROBERT&JULIE <br /> 1425 BAY RIDGE RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pemiit 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 goveming 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 afrer 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. )C` � <br /> � > �_ J <br /> � ` '' � )< � � �� 1 ��.� � S �. `!� �`'f ' <br /> ��.�..u.. � I,i � �� � 22�2 �� � <br /> Applic Permitee Signature Date Issued By Signature Date <br />