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CITY OF ORONO * 2 0 1 2 - 0 0 4 9 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/OS/2012 <br /> r � ORONO, MN 55356- <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4355 CHIPPEWA LA <br /> PIN : 31-118-23-42-0020 <br /> LEGAL DESC : N/A <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> ,�. <br /> v�i�'n s �h�i I�55,��- <br /> NOTE: EROSION CONTROL ESCROW <br /> BUILDING PERMIT 2012-00452 <br /> ;ou: <br /> '1.�!" <br /> i��'. . _ <br /> roi <br /> ,:,-;Y�;-,c . <br /> �,s..C.��.�,, <br /> _�,'�''Ghtl .. �.'f'`:i4... ,..1. '���' .. . <br /> .t: -.._.._..,t,'5f'�3.'' <br /> !��k ?�t I38bE `2,`.'�7�'• <br /> '�yJP:' ` <br /> ��-Y1 YOUY�q � <br /> �{; <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> YOUNG,JOHN&LYNN TOTAL 2,500.00 <br /> 4355 CHIPPEWA LA <br /> MAPLE PLAIN,MN 55359- <br /> OWNER <br /> YOUNG,JOHN& LYNN <br /> 4355 CH[PPEWA LA <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his permit is issued shall be performed according to <br /> the approved plans and specitications,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 after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the S[ate 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 />