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CITY OF ORONO PERMIT NO.: 2010-00465 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEn: 06/14/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4060 DAHL RD <br /> PIN : 07-117-23-11-0020 <br /> LEGAL DESC : PIRATES COVE <br /> : LOT 016 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-OTHER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-OTHER <br /> NOTE: THIS ESCROW PAYMENT WAS RECF;IVED ON 7/2U2009 FOR ZONING APPI,ICAT[ON 09-3421 <br /> F,NTERED INTO PERMIT WORKS ON 6/14/2010 <br /> APPLICANT ESCROW FEE-OTHER 700.00 <br /> NEVE, MR&MRS. JAMES TOTAL 700.00 <br /> 4060 DAHL RD <br /> MOUND, MN 55364- <br /> OWNER <br /> NEVE, MR& MRS. JAMES <br /> 4060 DAHL RD <br /> MOUND, MN 55364- <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 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 auUiorized 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 /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />