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s <br /> � <br /> CITY OF ORONO * z � 1 z — ID 0 z 0 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/21/2012 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3516 IVY PL <br /> PIN : 20-117-23-42-0022 <br /> LEGAL DESC : TAYLORS SUBD OF SPRING PARK LO <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$600.00 ESCROW IS TIED TO ZONING APPLICATION#12-3552 <br /> ,;�.. <br /> APPLICANT ESCROW FEE-APPLICANT 600.00 <br /> WHITE,JAMES&SHERRY ESCROW FEE-DEVELOPER 0.00 <br /> 3516 IVY PL <br /> WAYZATA,MN 55391 TOTAL 600.00 <br /> OWNER <br /> WHITE,JAMES& SHERRY <br /> 3516 IVY PL <br /> WAYZATA,MN 55391 <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 sepazate <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 /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />