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• ' CITY OF ORONO * z 0 1 z - 0 0 4 0 0 * <br /> 2750 KELLEY PARKWAY DATE 1SSUED: 05/14/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3409 EASTLAKE ST <br /> PII� : OS-117-23-li-0036 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT 000 BLOCK 008 <br /> PERMIT TYPE : ESCROW FEE-OTHER <br /> PROPERTY TYP� : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-OTHER <br /> NOTE: TIED TO PERMIT 2012-00365 <br /> APPLICANT <br /> ESCROW FEE-OTHER 2,000.00 <br /> OVSYANNIKOVA, MIKHAIL&ELENA TOTAL 2,000.00 <br /> 3409 EASTLAKE ST <br /> LONG LAKE, MN 55356- <br /> OWNER <br /> OVSYANNIKOVA, MIKHAIL&ELENA <br /> 3409 EASTLAKE ST <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work Cor 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 /> permi[s. 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 afrer 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 ma}be <br /> revoked at any time for due cause. <br /> � 1��J�1 ��� cs�v�,�i ��vr1 i�;� 5 i 1 z �,� ��-C'�►�--�%��1 i i <br /> Applicant Permitee Si ature Date Issued By�S gnature �'' % ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB�_ E. <br />