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CITY OF ORONO <br />2750 KELLEY PARKWAY <br />ORONO, MN 55356- <br />249 -4600 VAX: (W52) 249 -4616 <br />REPRINTED ON 2/22/2012 <br />ADDRESS 1545 MAPLE PL <br />PIN 08- 117 -23 -33 -0029 <br />LEGAL DESC CRYSTAL BAY VIEW <br />LOT 007 BLOCK 006 <br />PERMIT TYPE ESCROW FEE - APPLICANT <br />PROPERTY TYPE RESIDENTIAL <br />CONSTRUCTION TYPE ESCROW FEE - APPLICANT <br />NOTE: ESCROW FOR CUP 12 -3546 <br />APPLICANT <br />SANDY BEACH LLC <br />3515 PLYMOUTH BLVD. <br />PLYMOUTH, MN 55447- <br />OWNER <br />LANDBERG, KEVIN & MARIE <br />16576 FLAGSTAFF AVE W <br />ROSEMOUNT, MN 55068- <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 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 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 State Building Code. This permit may be <br />revoked at any time for due cause. <br />RKNIFIEffm <br />*2012-00146* <br />DATE ISSUED: 02/22/2012 <br />ESCROW FEE - APPLICANT <br />TOTAL <br />Applicant Permitee Signature Date Issued By Signature Date <br />T. <br />C�TiI A T A TT T <br />�L— A—.- A A.—. — .—",U I L . l vv vl \11 v 1 I7r.Il l r1H1V 1.0n3J - C tar jj Ht5u v C.. <br />700.00 <br />700.00 <br />