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CITY OF ORONO * z 0 1 4 — 0 0 43S <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/12/2014 <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 ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: TIED TO DEMOLITION PERMIT 2014-00431 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> STONEWOOD,LLC TOTAL 2,500.00 <br /> 153 E LAKE STREET Payment(s) <br /> CHECK 5396 2,500.00 <br /> WAYZATA,MN 55391- <br /> (612)462-4000 <br /> Minnesota State License#: BUIL-BC594315 <br /> OWNERCi'._.y rif Orono <br /> MCINTEE,SHAWN&JACQUELINE G+enc �1 y K aw. <br /> 2490 OLD BEACH RD <br /> WAYZATA,MN 55391- fteee?irt ire: 3.u�i,3CC yea°t <br /> 5tor'Ej400d Michael5uvlet <br /> AGREEMENT AND SWORN STATEMENT 2114-00 and Zc, 011 <br /> 2014-00 375 �43�1 E�1� <br /> The work for which this permit is issued shall be performed according to Rd3 <br /> the approved plans and specifications,applicable City approvals,and the 1�10ef�r ReV-1} Yrylo;,er 17eCrsS ? „Y <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 �• iij,C'i <br /> btdl <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 Died,NSI: 53% 2,900.00 <br /> commenced within 180 days of the date of issuance,or if construction is F"dGY t <br /> suspended for a period of 180 days at any time after work has commenced. aLv19 ic-)j <br /> The applicant is responsible for assuring all required inspections are it'd: �.�'�I•� ' <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 />