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', ' m ' CITY OF ORONO * 2 0 1 s — 0 0 4 6 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/02/201 6 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1890 SHADYWOOD RD <br /> PIN : 17-117-23-24-0019 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: ESCROW FOR ZONING PERMIT#2016-00427-PD BY:ANGELA LUNDBERG-CK#5323-$2,000.00 <br /> APPLICANT ESCROW FEE-APPLICANT 2,000.00 <br /> TOTAL 2,000.00 <br /> LUNDBERG,MIKE&ANGELA Payment(s) <br /> 1890 SHADYWOOD RD CHECK 5323 2,000.00 <br /> VJAYZATA,MN 55391- <br /> OWNER <br /> LUNDBERG,MIKE&ANGELA <br /> 1890 SHADYWOOD RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pem�it is issued shall be performed according to <br /> the approved plans and specificadons,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additional or rolated 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 construcHon authorized is not <br /> commenced within 180 days of the date of issuance,or if construcdon is <br /> suspended for a period of 180 days at any time after work 6as commenced. <br /> The applicant is responsible for assuring all required inspecrions are <br /> requested in conformance with the State Building Code.This permit may be /�7. _ <br /> revoked at any time for due cause. //1� <br /> � � 5^2l+� � �. <br /> �- O ���.�{�C� � 2� 1 C� <br /> Applic Pe ' e Signature Date Issued By Sign e Date <br />