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� <br /> CITY OF ORONO * z 0 1 z — 0 0 5 e 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/25/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3980 DAHL RD <br /> PIN : 08-117-23-23-0001 <br /> LEGAL DESC : UNPLATTED 08 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-OTHER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE -OTHER <br /> NO'1'L: THIS$500.00 ESCROW fS"1'IED"1�0 F3UILDING PERMI"1'#2012-00498 AND DEMOL,ITION PERMIT#2012-00490-PAID WITH <br /> CHECK#81 14 ON 6/21/2012-t3Y ANTOINET'I�E MCGLYNN <br /> APPLICANT ESCROW FEE-OTHER 500.00 -- <br /> MCGLYNN,THOMAS&TONI <br /> 3980 DAHL RD TOTAL 500.00 <br /> MOUND, MN 55364- <br /> OWNER <br /> MCGLYNN, THOMAS& TONI <br /> 3980 DAHL RD <br /> MOUND, MN 55364- <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,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 rclated work which requires separate <br /> permits. All provisions orlaws and ordinances governing this type of work <br /> shall be compied wilh 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[he date of issuance,or if construction is <br /> suspended Yor a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all reyuired inspections are <br /> requested in conformance with Ihe State Building Code.This permit ma��be <br /> revoked at any time for due causc. <br /> l l , //'/,�'� 5v'�O�� �� <br /> �_4�.� <br /> Applicant Permilee Signature Date Issued Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />