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CITY OF ORONO PERMIT NO.: 2011-00012 <br /> 2750 KELLEY PARKWAY <br /> �_ � ORONO, MN 55356- �ATE [SSUE�: 01105/2011 <br />' ' (952) 249-4600 FAX: (952) 249-4616 <br />'r <br />�' ADDRESS : 155 M'�CKINIVON�R �'\i` �L jl I ( �� �'� r�f.- � � f� <br /> P[N . 32-ll 8-23-43-0016 <br /> LECAL DESC : KINTYRE TWO <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERM[T <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILD[NG PERMIT <br /> N07�E: F..SCROW I�EE FOR NLW HOML 13UILDING PERMIT#201 1-00010-PAID L3Y: M[CFIAEL ROLL CK#531I <br /> APPLICANT ESCROW FEE- BUILDING 2,500.00 <br /> ROLL& JACQUELINE WILLIAMS-ROLL, MICHAEL TOTAL 2,500.00 <br /> 75 FERNDALE RD N <br /> WAYZATA, MN 55391- <br /> '._:_eip't N�,: ._ <br /> OWNER <br /> ROLL& JACQUF,LINE WILLIAMS-ROLL, MICHAEL ' - <br /> 75 FERNDALE RD N <br /> WAYZATA, MN 55391- r.r'_;:� , ,.: _ <br /> ::� �ianir�r�ar� Ur �,�'v':�, <br /> '01-c�c05 <br /> ��serred Rev-Developer De�t�sit <br /> AGREEMENT AND SWORN STATEMENT --�-'-'�-' <br /> T��tal: t,SU+;.' <br /> The work for which this pennit is issued shall be performed according to ��__�___ , <br /> the approved plans and specifications,applicable City approvals,and the w�-��� <br /> State Building Codc. This permit is lor only the work described and does ��1@Ck NG: ,�i3�9 c���C�.� ��� <br /> not grant permission for additional or related ti�ork which requires separate ��gy�,p� <br /> permits. nll provisions ol�laws and ordinances goveming this type ot�work i�1Cfi881 �G11 <br /> � shall be compied with whether or not specified hercin.This permit w•ill :�id� �p�i IBd: 2�`�7V. .�. <br /> expire and become n��ll and void if construction aulhorized is not -------- <br /> commenced within 180 days of the date of issuance,or if conslruction is `�°� T��'Fid°,-��' <br /> _ _ _. _.. <br /> suspended ibr a period of 180 days at any time aRer work has commenced. � � � <br /> The applicant is responsiblc for assuring all required inspections are <br /> requested in conlonnanec�vilh the State 13uildine Code.This permit may be <br /> f revoked at any time ibr due cause. �� <br /> i <br /> l l �l�-.'-�.. l � �`YrY:i'1 / � /__�_ �� <br /> Applicant Permitee Signature Datc <br /> Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />