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` ' CITY OF ORONO <br /> * Z 0 1 2 - 0 0 5 7 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/21/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2215 BAYVIEW PL <br /> PIN : 17-117-23-44-0026 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <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 t�OR BUILDING PERMIT 2012-00502&DEMO PFRMI"I'2012-00500 <br /> APPLICANT ESCROW FEE- BUILDING 500.00 <br /> DUNN,TIMOTHY <br /> 3010 BROOKS LANE TOTAL 500.00 <br /> WAYZATA, MN 5539]- <br /> OWNER <br /> DUNN,TIMOTHY <br /> 3010 BROOKS LANE <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed accordin�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 4'�0 days aC any time after work has commenced. <br /> The applicant is responsi le�for assuring all required inspections are <br /> requested in confo.r ce w the State Buildine Code.This permit may be <br /> revoked at any.Yifii� r d e se. <br /> y � �� � <br /> ..i � � 'vu�� � Z,, <br /> / / <br /> Ap icant Permite i a re Date Issued By Si ture Date <br /> � <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A O E. <br />