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1111111111111111111111111111111111111 1H M <br /> ' CITY OF ORONO * 2 0 1 5 - 0 0 S 7 S * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/12/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 2490 OLD BEACH RD <br /> PIN 21-117-23-22-0005 <br /> LEGAL DESC SHORE HILLS <br /> : LOT 004 BLOCK 000 <br /> PERMIT TYPE NEW STRUCTURE <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> RSP IO _P�-f-YY114- I <br /> {�_�lads QiC.r-rri-i� 'Z o►�}-01331. <br /> APPLICANT <br /> TOTAL <br /> MCINTEE,SHAWN&JACQUELINE Payment(s) <br /> 2490 OLD BEACH RD <br /> WAYZATA,MN 55391- <br /> OWNER <br /> MCINTEE,SHAWN&JACQUELINE <br /> 2490 OLD BEACH RD <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 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. n <br /> Applicant Permitee Signature Date [s d By Signature Date <br />