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1 II <br /> CITY OF ORONO �! '�' �', �I �'� II II �' <br /> 2750 KELLEY PARKWAY <br /> * 20 12 - 0J. 1 4 8 <br /> DATE ISS2UED: 11/09/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 20 ORONO ORCHARD RD N <br /> PIN 35-118-23-33-0009 <br /> LEGAL DESC , : ORONO OAKS <br /> : LOT 013 BLOCK 001 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE SAC ONLY <br /> C <br /> APPLICANT S.A.C. 2,365.00 <br /> Old Orchard Farm,LLC TOTAL 2,365.00 <br /> 30 ORONO ORCHARD RD <br /> WAYZATA,MN 55391- <br /> OWNER <br /> Old Orchard Farm,LLC <br /> 30 ORONO ORCHARD 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 f. •period of 180 days at any time after work has commenced. <br /> The appli•.nt s responsible • assuring all ref uired inspections are <br /> request;d in onformance ith ';State Bui i i :Code.This permit may be <br /> revok d at y ti for di. cat s,$ <br /> k I <br /> Ap. '•A t Permitee Signature'• , V' Date Issued By gnature l ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO LP. <br />