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A CITY OF ORONO PERMIT NO.: 2011-00042 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 01/19/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 875 WAYZATA BLVD W <br /> PIN : 35-118-23-44-0005 <br /> LEGAL DESC : UNPLATTED 35 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS ESCROW OF$20,000 PAID BY KRAUS ANDERSON-LAND USE APPLICATION 11-3498 <br /> APPLICANT <br /> ESCROW FEE-APPLICANT 20,000.00 <br /> KRAUS ANDERSON CONST CO. TOTAL 20,000.00 <br /> P.O. BOX 158 <br /> CIRCLE PINES, MN 55014 <br /> (952)249-9679 <br /> OWNER <br /> 875 WBW, LLC <br /> THOMPSON, ATTN: CHARLES <br /> 20400 LAKEVIEW AVE <br /> EXCELSIOR, MN 55331- <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. <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />