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CITY OF ORONO * Z 0 1 2 - 0 0 6 3 1 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 07/02/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 325 CRESTV[EW AVE <br /> PIN : OS-117-23-14-0031 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT 000 BLOCK 005 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: ESCROW FOR DGMOI,ITION PEKM[T 2012-00552 <br /> APPLICANT ESCROW FEE-APPLICANT 2,000.00 <br /> SULLIVAN, WENDY TOTAL 2,000.00 <br /> 3409 26TH.AVE. S <br /> MINNEAPOLIS, MN 55406- <br /> OWNER <br /> SULLIVAN, WENDY <br /> 3409 26TH. AVE. S <br /> MINNEAPOLIS, MN 55406- <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,applicablc City approvals,and the <br /> State Building Code. This permit is Cor only the work described and does <br /> no[grant permission Yor additional or related worh 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 ol' I 80 days at any time afler work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> reques[ed in conformance with the State E3uilding Code.This permit may be <br /> revoked at any[ime for due cause. <br /> / / / / <br /> Applicant Perrnitee Signature Date Issued By ature ate � <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />