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CITY OF ORONO * z � 1 z - 0�� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/3U2012 <br /> ORONO, MN 5�356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1501 BAY RIDGE RD <br /> PlN : 10-ll 7-2�-34-0007 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0192 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS�2.000 ESCROVV IS TIED TO ZONING PERMIT-2012-01083-PAID BY DON GERMANSON <br /> APPLICANT ESCROW FEE-APPLICANT 2,000.00 <br /> GERMANSON, DON &TWILA ESCROW FEE-DEVELOPER 0.00 <br /> 1501 BAY RIDGE RD <br /> WAYZATA, MN 55391- TOTAL 2,000.00 <br /> OWNER <br /> GERMANSON,DON &TWILA <br /> 1501 BAY RIDGE RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,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 govemine 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 l80 days of the da[e of issuance,or if construction is <br /> suspended for a period o1� I 80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> reques[ed in conformance with the State Building Code.This permit may be <br /> revoked at anv time for due causc. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />