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' � " CITY OF ORONO * z 0 1 2 - PJ 0 4 4 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/23/2012 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2640 NORTH SHORE DR <br /> PIN : 09-117-23-13-0009 <br /> LEGAL DESC : COLWELL ADDN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-OTHER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-OTHER <br /> NOTE: ESCROW ZONING APP 12-3559 <br /> APPLICANT ESCROW FEE-OTHER 2,500.00 <br /> HODDER,KENT H&JUDITH B TOTAL 2,500.00 <br /> 2640 NORTH SHORE DR <br /> MN 55391- <br /> OWNER <br /> HODDER,KENT H&JUDITH B <br /> 2640 NORTH SHORE DR <br /> ,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. T'his permit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <br /> permiu. All provisions of laws and ordinances goveming 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 aze <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 />