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` * CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 2 - 0 1 2 3 1 * <br /> DATE ISSUED: 12/11/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 325 CRESTVIEW 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 /> NO"1'I�:: ADDI�fIONAL$500.00 ESCROW WI{ICH T[ED PGRMIT 2012-01098 AND 2012-00��2-PD CHL'CK#6896 <br /> APPLICANT ESCROW FEE-APPL[CANT 500.00 <br /> RESIDENTIAL RENEWAL INC ESCROW FEE- DEVELOPER 0.00 <br /> 3615 INGLEWOOD AVE <br /> ST LOU[S PARK, MN 55416- TOTAL 500.00 <br /> (612) 805-2462 <br /> Minnesota State License#: CR236002 <br /> OWNER <br /> SULLNAN, WENDY <br /> 3409 26TH. AVE. S <br /> MINNEAPOLIS, MN 55406- <br /> ACREEMENT AND SWORN STATEMENT <br /> Chc;work for which this permit is issued shall be perYormed 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 pennission for additional or related work which requires separate <br /> pennits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whethcr 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 I SO days at any time atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformanec with the State[3uilding Code.Tl�is permit may bc <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitce Signature Date Issued By Signature Datc <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />