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� <br /> � CITY OF ORONO * 2 0 1 6 — 0 0 3 5 6 * <br /> �, 2750 KELLEY PARKWAY DATE ISSLTED: 04/i]/2016 <br /> � ORONO,MN 55356- <br /> (952)249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2100 SHADYWOOD RD <br /> PIN : 17-117-23-31-0041 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 030 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUII..DING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS$700 ESCROW IS TIED TO BUILDING PERMIT 2016-00298 <br /> APPLICANT ESCROW FEE-BUILDING 700.00 <br /> TAMTE,MICHEAL&MEGAN TOTAL 700.00 <br /> 2100 SHADYWOOD RD P$yment(s) <br /> WAYZATA,MN 55391- CHECK 2106 700.00 <br /> OWNER <br /> TAMTE,MICHEAL&MEGAN <br /> 2100 SHADYWOOD RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perforn►ed according to <br /> the approved plans and specificatioas,applicable Ciry approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> pertnits. All provisions of Iaws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.l'his 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 for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This penr►it may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />